Provider Demographics
NPI:1396429239
Name:BALANCE AND GROW COUNSELING CENTER
Entity type:Organization
Organization Name:BALANCE AND GROW COUNSELING CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER, LPC
Authorized Official - Prefix:
Authorized Official - First Name:AMY
Authorized Official - Middle Name:
Authorized Official - Last Name:HALTER
Authorized Official - Suffix:
Authorized Official - Credentials:MA, MED, LPC
Authorized Official - Phone:724-787-9090
Mailing Address - Street 1:152 MARKET ST
Mailing Address - Street 2:
Mailing Address - City:LEECHBURG
Mailing Address - State:PA
Mailing Address - Zip Code:15656-1335
Mailing Address - Country:US
Mailing Address - Phone:724-787-9090
Mailing Address - Fax:
Practice Address - Street 1:152 MARKET ST
Practice Address - Street 2:
Practice Address - City:LEECHBURG
Practice Address - State:PA
Practice Address - Zip Code:15656-1335
Practice Address - Country:US
Practice Address - Phone:724-787-9090
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-06-12
Last Update Date:2023-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty