Provider Demographics
NPI:1023478187
Name:BALANCED PATH COUNSELING
Entity type:Organization
Organization Name:BALANCED PATH COUNSELING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:HERBERT
Authorized Official - Middle Name:
Authorized Official - Last Name:COLE
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:770-833-6052
Mailing Address - Street 1:1220 WITHAM DR
Mailing Address - Street 2:
Mailing Address - City:DUNWOODY
Mailing Address - State:GA
Mailing Address - Zip Code:30338-3335
Mailing Address - Country:US
Mailing Address - Phone:770-833-6052
Mailing Address - Fax:
Practice Address - Street 1:8046 ROSWELL RD
Practice Address - Street 2:STE 101C
Practice Address - City:SANDY SPRINGS
Practice Address - State:GA
Practice Address - Zip Code:30350-7023
Practice Address - Country:US
Practice Address - Phone:770-833-6052
Practice Address - Fax:877-262-0792
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-03-02
Last Update Date:2016-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty