Provider Demographics
NPI:1891313599
Name:BALANCED CNS COUNSELING LLC
Entity Type:Organization
Organization Name:BALANCED CNS COUNSELING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:KATHERINE
Authorized Official - Middle Name:DEAN
Authorized Official - Last Name:TUREK
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:801-499-1178
Mailing Address - Street 1:PO BOX 2382
Mailing Address - Street 2:
Mailing Address - City:LAYTON
Mailing Address - State:UT
Mailing Address - Zip Code:84041-9306
Mailing Address - Country:US
Mailing Address - Phone:801-499-1178
Mailing Address - Fax:
Practice Address - Street 1:189 S STATE ST STE 230
Practice Address - Street 2:
Practice Address - City:CLEARFIELD
Practice Address - State:UT
Practice Address - Zip Code:84015-1001
Practice Address - Country:US
Practice Address - Phone:801-923-8667
Practice Address - Fax:801-978-3272
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-07-09
Last Update Date:2020-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0855XAmbulatory Health Care FacilitiesClinic/CenterAdolescent and Children Mental Health
No261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health