Provider Demographics
NPI:1649153750
Name:BALANCED LIFE COUNSELING SOLUTIONS, LLC
Entity type:Organization
Organization Name:BALANCED LIFE COUNSELING SOLUTIONS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:CARRIE
Authorized Official - Middle Name:
Authorized Official - Last Name:LEAF
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:718-663-9252
Mailing Address - Street 1:950 OFFICE PARK RD STE 221
Mailing Address - Street 2:
Mailing Address - City:WEST DES MOINES
Mailing Address - State:IA
Mailing Address - Zip Code:50265-2548
Mailing Address - Country:US
Mailing Address - Phone:718-663-9252
Mailing Address - Fax:
Practice Address - Street 1:950 OFFICE PARK RD STE 221
Practice Address - Street 2:
Practice Address - City:WEST DES MOINES
Practice Address - State:IA
Practice Address - Zip Code:50265-2548
Practice Address - Country:US
Practice Address - Phone:718-663-9252
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:BALANCED LIFE COUNSELING SOLUTIONS, LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2025-07-28
Last Update Date:2025-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)