| Balanced Mind Psychotherapy, Llc | |
|
180 N Michigan Ave Ste 1510 Chicago IL 60601-7484 | |
| (708) 831-3782 | |
| Not Available |
| Full Name | Balanced Mind Psychotherapy, Llc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 180 N Michigan Ave Ste 1510, Chicago, Illinois |
| Authorized Official Name and Position | Jamie Dunlap (OWNER/PRACTICE MANGER AND THERAPIST) |
| Authorized Official Contact | 3092360501 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Balanced Mind Psychotherapy, Llc 2321 11th St Moline IL 61265-4756 Ph: (708) 831-3782 | Balanced Mind Psychotherapy, Llc 180 N Michigan Ave Ste 1510 Chicago IL 60601-7484 Ph: (708) 831-3782 |
| NPI Number | 1194437962 |
|---|---|
| Provider Enumeration Date | 12/23/2022 |
| Last Update Date | 12/23/2022 |
| Certification Date | 12/23/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194437962 | NPI | - | NPPES |
| 14410974 | Other | IL | COUNCIL FOR AFFORDABLE QUALITY HEALTHCARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
Philip K Mccullough Md Sc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 201 E Huron St, Suite 11-100, Chicago, IL 60611 Phone: 312-695-3680 Fax: 312-926-3709 | |
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