Provider Demographics
NPI:1578962072
Name:ACHIEVE BALANCE COUNSELING
Entity Type:Organization
Organization Name:ACHIEVE BALANCE COUNSELING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:THERAPIST
Authorized Official - Prefix:MR
Authorized Official - First Name:AARON
Authorized Official - Middle Name:JOEL
Authorized Official - Last Name:ENGELBART
Authorized Official - Suffix:
Authorized Official - Credentials:LMHP, LADC, NCC
Authorized Official - Phone:402-210-7673
Mailing Address - Street 1:10806 PRAIRIE HILLS DR
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68144-4830
Mailing Address - Country:US
Mailing Address - Phone:402-210-7673
Mailing Address - Fax:
Practice Address - Street 1:10806 PRAIRIE HILLS DR
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68144-4830
Practice Address - Country:US
Practice Address - Phone:402-210-7673
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-08-20
Last Update Date:2014-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE4148251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NE100264100-00Medicaid