Provider Demographics
NPI:1477372753
Name:BALANCE & PEACE FAMILY COUNSELING INC.
Entity type:Organization
Organization Name:BALANCE & PEACE FAMILY COUNSELING INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JENNIFER
Authorized Official - Middle Name:
Authorized Official - Last Name:PEAU
Authorized Official - Suffix:
Authorized Official - Credentials:LMFT
Authorized Official - Phone:760-221-5104
Mailing Address - Street 1:3043 AMSTERDAM DR
Mailing Address - Street 2:
Mailing Address - City:RIVERSIDE
Mailing Address - State:CA
Mailing Address - Zip Code:92504-4211
Mailing Address - Country:US
Mailing Address - Phone:760-221-5104
Mailing Address - Fax:
Practice Address - Street 1:6529 RIVERSIDE AVE STE 155
Practice Address - Street 2:
Practice Address - City:RIVERSIDE
Practice Address - State:CA
Practice Address - Zip Code:92506-3118
Practice Address - Country:US
Practice Address - Phone:760-221-5104
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-10-04
Last Update Date:2024-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Single Specialty