LIFE BALANCE NPI 1477782472

NPI Information

NPI: 1477782472
Provider Name: LIFE BALANCE

Other Name: ROBERT TUTT

Classification: Counselor - 101YP2500X
Entity Type: Organization

Specialization: Professional

Address:
5301 E STATE ST
SUITE 203
ROCKFORD, IL
ZIP 61108
Phone: (815) 978-4749
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LIFE BALANCE is a professional counselor in Rockford, IL. LIFE BALANCE NPI is 1477782472. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Other Name Is Robert Tutt.

The provider's business location address is:

5301 E STATE ST
SUITE 203
ROCKFORD, IL
ZIP 61108-901
Phone: (815) 978-4749

The provider's authorized official is Robert Charles Tutt .
The authorized official title is Owner and has the following contact phone number (815) 978-4749.

The enumeration date for this NPI number is 7/11/2009 and was last updated on 7/11/2009.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YA0400X	Counselor	Addiction (Substance Use Disorder)	21746	ILLINOIS	No
2	101YP2500X	Counselor	Professional	180.006576	ILLINOIS	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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