Provider Demographics
NPI:1326727702
Name:BALANCED BEHAVIORAL HEALTH, LLC
Entity Type:Organization
Organization Name:BALANCED BEHAVIORAL HEALTH, LLC
Other - Org Name:JESSICA SHANTI LEMAN
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PROVIDER/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JESSICA
Authorized Official - Middle Name:SHANTI
Authorized Official - Last Name:LEMAN
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW, LADC
Authorized Official - Phone:775-434-8081
Mailing Address - Street 1:PO BOX 3051
Mailing Address - Street 2:
Mailing Address - City:CARSON CITY
Mailing Address - State:NV
Mailing Address - Zip Code:89702-3051
Mailing Address - Country:US
Mailing Address - Phone:530-902-2757
Mailing Address - Fax:
Practice Address - Street 1:777 E WILLIAM ST STE 108
Practice Address - Street 2:
Practice Address - City:CARSON CITY
Practice Address - State:NV
Practice Address - Zip Code:89701-4057
Practice Address - Country:US
Practice Address - Phone:530-902-2757
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-07-13
Last Update Date:2024-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health