Provider Demographics
NPI:1740939768
Name:PEACEFUL BALANCE COUNSELING
Entity type:Organization
Organization Name:PEACEFUL BALANCE COUNSELING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:LORNA
Authorized Official - Middle Name:A
Authorized Official - Last Name:POYER
Authorized Official - Suffix:
Authorized Official - Credentials:LMSW
Authorized Official - Phone:517-331-2699
Mailing Address - Street 1:7090 LAWRENCE HWY
Mailing Address - Street 2:
Mailing Address - City:VERMONTVILLE
Mailing Address - State:MI
Mailing Address - Zip Code:49096-8548
Mailing Address - Country:US
Mailing Address - Phone:517-541-1996
Mailing Address - Fax:
Practice Address - Street 1:64 VANSICKLE DR STE B
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:MI
Practice Address - Zip Code:48813-9526
Practice Address - Country:US
Practice Address - Phone:517-543-1150
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-03-18
Last Update Date:2022-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty