Provider Demographics
NPI:1558975615
Name:ACHIEVE BALANCE COUNSELING, LLC
Entity Type:Organization
Organization Name:ACHIEVE BALANCE COUNSELING, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LICENSED PROFESSIONAL COUNSELOR
Authorized Official - Prefix:MS
Authorized Official - First Name:SHELLEY
Authorized Official - Middle Name:L
Authorized Official - Last Name:JUNGEN
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:636-667-9590
Mailing Address - Street 1:1937 S BRITTANY PL
Mailing Address - Street 2:
Mailing Address - City:SPRINGFIELD
Mailing Address - State:MO
Mailing Address - Zip Code:65809-2962
Mailing Address - Country:US
Mailing Address - Phone:636-667-9590
Mailing Address - Fax:
Practice Address - Street 1:1722 S GLENSTONE AVE STE H
Practice Address - Street 2:
Practice Address - City:SPRINGFIELD
Practice Address - State:MO
Practice Address - Zip Code:65804-1513
Practice Address - Country:US
Practice Address - Phone:636-667-9590
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-09-04
Last Update Date:2020-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty