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Balance BEHAVIORAL HEALTH, LLC CONFIDENTIAL ADULT QUESTIONNAIRE Please answer the following questions as completely as possiblePatient Name: Date: Main Issue you are seeking help with: Medical/Lifestyle
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Balance Behavioral Health PLLC is a healthcare practice that provides mental health services, therapy, and counseling to individuals and families.
Individuals or entities operating as a professional limited liability company (PLLC) in the behavioral health field are required to file Balance Behavioral Health PLLC.
To fill out Balance Behavioral Health PLLC, you need to provide information about the business structure, members, services offered, and comply with state regulations.
The purpose of Balance Behavioral Health PLLC is to deliver mental health services in a professional and supportive environment, promoting emotional well-being.
Information that must be reported includes the names of members, business address, type of services provided, and compliance with licensing requirements.
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