OrganizationActive
The Balanced Lifestyle Grp., LLC
NPI 1508004664 · Clinical Social Worker · Cincinnati, OH
Provider details
- NPI number
- 1508004664
- Entity type
- Organization
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Organization subpart
- No
- Authorized official
- Constance Bates, Psychotherapist(513) 731-4909
- License
- I 0600003 (OH)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Detailed profile(86/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
17 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1721 Dana Ave
Cincinnati, OH 45207-1138
Phone: (513) 731-4004
Fax: (513) 731-4005
Street-level locationGet directions
Mailing address
1721 Dana Ave
Cincinnati, OH 45207-1138
Registry dates
- Enumerated
- 2009-01-28
- Last updated
- 2009-01-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.