| Life Balance Counseling And Wellness Inc | |
|
2428 Chartres St La Salle IL 61301-1107 | |
| (309) 830-1096 | |
| Not Available |
| Full Name | Life Balance Counseling And Wellness Inc |
|---|---|
| Speciality | Social Worker |
| Location | 2428 Chartres St, La Salle, Illinois |
| Authorized Official Name and Position | Danielle Stoddard (PRESIDENT) |
| Authorized Official Contact | 3098301096 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Life Balance Counseling And Wellness Inc 418 Oak St Spring Valley IL 61362-2327 Ph: () - | Life Balance Counseling And Wellness Inc 2428 Chartres St La Salle IL 61301-1107 Ph: (309) 830-1096 |
| NPI Number | 1912409681 |
|---|---|
| Provider Enumeration Date | 03/08/2018 |
| Last Update Date | 03/08/2018 |
| Medicare PECOS PAC ID | 8325397904 |
|---|---|
| Medicare Enrollment ID | O20180814004194 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912409681 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Tammy R Thieme |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1487701793 PECOS PAC ID: 9739261397 Enrollment ID: I20080205000129 |
| Provider Name | Jessica Marie Dergance |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1811293095 PECOS PAC ID: 8628253820 Enrollment ID: I20110504000205 |
| Provider Name | Victoria Brueggert |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992231260 PECOS PAC ID: 1456628924 Enrollment ID: I20170605001725 |
| Provider Name | Traci A Midnight |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1528503018 PECOS PAC ID: 3375812068 Enrollment ID: I20170712002030 |
| Provider Name | Josie Anne Dawe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255713236 PECOS PAC ID: 1850709403 Enrollment ID: I20210420000780 |
| Provider Name | Lexi Piccatto |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1649838418 PECOS PAC ID: 4587046594 Enrollment ID: I20220806000614 |
| Provider Name | Abbey Simmons |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1215459391 PECOS PAC ID: 7214311109 Enrollment ID: I20220825003664 |
| Provider Name | Danielle G Stoddard |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1902956220 PECOS PAC ID: 6507115185 Enrollment ID: I20240403000141 |
| Provider Name | Lauren Elizabeth Holt |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1174027148 PECOS PAC ID: 4284075763 Enrollment ID: I20240515001376 |
North Central Behavioral Health Systems Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2970 Chartres St, La Salle, IL 61301 Phone: 815-224-5001 | |
Wayne R. Ashley, Phd, Ltd Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 206 Marquette St, La Salle, IL 61301 Phone: 815-223-5112 | |
North Central Behavioral Health Systems, Inc.. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 901 Grant Ave, Apt. 222, La Salle, IL 61301 Phone: 815-223-0160 Fax: 815-223-1634 |