Provider Demographics
NPI:1720795578
Name:BECOMING BALANCED, LLC
Entity Type:Organization
Organization Name:BECOMING BALANCED, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/MENTAL HEALTH CLINICIAN
Authorized Official - Prefix:
Authorized Official - First Name:SHACARA
Authorized Official - Middle Name:B
Authorized Official - Last Name:BURREL
Authorized Official - Suffix:
Authorized Official - Credentials:MSW,LLMSW
Authorized Official - Phone:269-888-4046
Mailing Address - Street 1:PO BOX 51561
Mailing Address - Street 2:
Mailing Address - City:KALAMAZOO
Mailing Address - State:MI
Mailing Address - Zip Code:49005-1561
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1141 S ROSE ST STE A
Practice Address - Street 2:
Practice Address - City:KALAMAZOO
Practice Address - State:MI
Practice Address - Zip Code:49001-2652
Practice Address - Country:US
Practice Address - Phone:231-888-4046
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-11-01
Last Update Date:2023-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty