Provider Demographics
NPI:1558854067
Name:RESTORING BALANCE COUNSELING, LLC
Entity Type:Organization
Organization Name:RESTORING BALANCE COUNSELING, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:GREGG
Authorized Official - Middle Name:
Authorized Official - Last Name:HAMMOND
Authorized Official - Suffix:
Authorized Official - Credentials:MS, LPC
Authorized Official - Phone:717-371-3836
Mailing Address - Street 1:175 BLOSSOM HILL DR
Mailing Address - Street 2:
Mailing Address - City:LANCASTER
Mailing Address - State:PA
Mailing Address - Zip Code:17601-3209
Mailing Address - Country:US
Mailing Address - Phone:717-371-3836
Mailing Address - Fax:
Practice Address - Street 1:1525 OREGON PIKE STE 602
Practice Address - Street 2:
Practice Address - City:LANCASTER
Practice Address - State:PA
Practice Address - Zip Code:17601-4374
Practice Address - Country:US
Practice Address - Phone:717-371-3836
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-06-08
Last Update Date:2018-06-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPC008412261QM0850X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health