BALANCED LIVING THERAPY, LLC

Counselor — Addiction (Substance Use Disorder)

Code: 101YA0400X

Counselor — Mental Health

Code: 101YM0800X

Marriage & Family Therapist

Code: 106H00000X

Clinic/Center — Mental Health (Including Community Mental Health Center)

Code: 261QM0801X

Clinic/Center — Multi-Specialty

Code: 261QM1300X

Community/Behavioral Health

Code: 251S00000X