Provider Demographics
NPI:1235780545
Name:BALANCED BEHAVIORAL SOLUTIONS, LLC
Entity Type:Organization
Organization Name:BALANCED BEHAVIORAL SOLUTIONS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER & COUNSELOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:KATHERINE
Authorized Official - Middle Name:MONROE
Authorized Official - Last Name:DYSON
Authorized Official - Suffix:
Authorized Official - Credentials:MA, LPC-A
Authorized Official - Phone:757-645-7002
Mailing Address - Street 1:1262 WOODSAGE DRIVE
Mailing Address - Street 2:
Mailing Address - City:HANAHAN
Mailing Address - State:SC
Mailing Address - Zip Code:29410
Mailing Address - Country:US
Mailing Address - Phone:757-645-7002
Mailing Address - Fax:
Practice Address - Street 1:222 W COLEMAN BLVD
Practice Address - Street 2:SUITE #107
Practice Address - City:MT. PLEASANT
Practice Address - State:SC
Practice Address - Zip Code:29464
Practice Address - Country:US
Practice Address - Phone:540-523-1883
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-09-27
Last Update Date:2019-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty