Provider Demographics
NPI:1891473484
Name:BALANCED BEING COUNSELING LLC
Entity Type:Organization
Organization Name:BALANCED BEING COUNSELING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FOUNDER
Authorized Official - Prefix:MISS
Authorized Official - First Name:DIANA
Authorized Official - Middle Name:
Authorized Official - Last Name:SANMIGUEL
Authorized Official - Suffix:
Authorized Official - Credentials:LMHC
Authorized Official - Phone:239-821-7876
Mailing Address - Street 1:1717 NW 2ND TER
Mailing Address - Street 2:
Mailing Address - City:CAPE CORAL
Mailing Address - State:FL
Mailing Address - Zip Code:33993-7686
Mailing Address - Country:US
Mailing Address - Phone:239-821-7876
Mailing Address - Fax:
Practice Address - Street 1:13180 N CLEVELAND AVE STE 339
Practice Address - Street 2:
Practice Address - City:NORTH FORT MYERS
Practice Address - State:FL
Practice Address - Zip Code:33903-6232
Practice Address - Country:US
Practice Address - Phone:239-402-4010
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-07-05
Last Update Date:2023-07-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty