NPI 1104627660 · live from the CMS NPI Registry
Balanced Health Consultants, LLC
Counselor, Mental Health in Lagrange, GA. National Provider Identifier 1104627660, active.
NPI record
| NPI | 1104627660 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Counselor, Mental Health 101YM0800X |
| Practice location | 307 Church St Ste C, Lagrange, GA 30240 |
| Practice phone | 706-489-9095 |
| Enumerated | March 21, 2025 |
| Last updated | March 9, 2026 |
| Authorized official | Jordan Child, Owner |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Social Worker, Clinical | 1041C0700X | — |
| Specialist | 174400000X | — |
| Counselor, Professional | 101YP2500X | — |
| Nurse Practitioner | 363L00000X | — |
| Marriage & Family Therapist | 106H00000X | — |
| Counselor, Mental Health primary | 101YM0800X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.