Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Balanced Life Counseling LLC

Organization Clinical Social Worker · NPI 1619634177

Balanced Life Counseling LLC is a Clinical Social Worker in Wallingford, Connecticut. Registered with an NPI since 2021.

In the registry since
2021
Specialties on file
2
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

45 Fair St
Wallingford, CT 06492-4208
Phone: (860) 901-7916
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X
Adult Mental Health Clinic/Center Taxonomy 261QM0850X

Record details

NPI number1619634177
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Samantha Forst — Social Worker · (860) 901-7916
NPI enumeratedNovember 19, 2021
Last updated in NPPESJuly 3, 2023
Certification dateJuly 3, 2023
Mailing address2079 Killingly Cmns # 1019, Killingly, CT 06241-2190

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