National Provider Identifier Database

LIFE BALANCE CLINIC LLC
Clinical

A social worker who holds a master?s or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master?s supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.


Contact Information

LIFE BALANCE CLINIC LLC
1107 OPENWOOD ST
VICKSBURG, MS39183
Phone: 601-831-4402
Fax: 601-206-0672
Website:
Specialty Taxonomy Code
* Clinical 1041C0700X

* Indicates primary specialty

NPI Profile & details for LIFE BALANCE CLINIC LLC

NPI Number 1811244858
Legal business name
LBN
LIFE BALANCE CLINIC LLC
Authorized official ANNETTE BRYANT - (OWNER/PROVIDER)
Entity Organization
Organization subpart No
Enumeration date 08/09/2012
Last updated 08/07/2018 - About 8 years ago
Sole proprietor1 Not specified
Identifiers
  • MS License #: C6582

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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