Provider Demographics
NPI:1366905614
Name:PEACE BALANCE AND JOY CONSULTING
Entity type:Organization
Organization Name:PEACE BALANCE AND JOY CONSULTING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:AMY
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:NIELSON
Authorized Official - Suffix:
Authorized Official - Credentials:CMHC
Authorized Official - Phone:435-590-4417
Mailing Address - Street 1:4905 N HORSESHOE DR
Mailing Address - Street 2:
Mailing Address - City:ENOCH
Mailing Address - State:UT
Mailing Address - Zip Code:84721-7894
Mailing Address - Country:US
Mailing Address - Phone:435-590-4417
Mailing Address - Fax:
Practice Address - Street 1:476 E MIDVALLEY RD # A
Practice Address - Street 2:
Practice Address - City:ENOCH
Practice Address - State:UT
Practice Address - Zip Code:84721-7603
Practice Address - Country:US
Practice Address - Phone:435-590-4417
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-04-12
Last Update Date:2019-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty