| Balanced Soul Counseling Pllc | |
|
180 Beaver Creek Dr Bolingbrook IL 60490-5559 | |
| (630) 788-1719 | |
| Not Available |
| Full Name | Balanced Soul Counseling Pllc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 180 Beaver Creek Dr, Bolingbrook, Illinois |
| Authorized Official Name and Position | Bianca Rivera (LICENSED CLINICAL SOCIAL WORKER) |
| Authorized Official Contact | 6307881719 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Balanced Soul Counseling Pllc 180 Beaver Creek Dr Bolingbrook IL 60490-5559 Ph: (630) 788-1719 | Balanced Soul Counseling Pllc 180 Beaver Creek Dr Bolingbrook IL 60490-5559 Ph: (630) 788-1719 |
| NPI Number | 1699405183 |
|---|---|
| Provider Enumeration Date | 06/16/2022 |
| Last Update Date | 06/16/2022 |
| Certification Date | 06/16/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699405183 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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