BALANCED COUNSELING AND CONSULTATION NPI 1891090783

NPI Information

NPI: 1891090783
Provider Name: BALANCED COUNSELING AND CONSULTATION
Classification: Counselor - 101YM0800X
Entity Type: Organization

Specialization: Mental Health

Address:
2211 MAPLEWOOD RD
FORT WAYNE, IN
ZIP 46819
Phone: (260) 437-1248
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BALANCED COUNSELING AND CONSULTATION is a mental health counselor in Fort Wayne, IN. BALANCED COUNSELING AND CONSULTATION NPI is 1891090783. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

2211 MAPLEWOOD RD
FORT WAYNE, IN
ZIP 46819-646
Phone: (260) 437-1248
Fax: (260) 478-4727

The provider's authorized official is Rita Irene Polivick .
The authorized official title is Owner and has the following contact phone number (260) 437-1248.

The enumeration date for this NPI number is 1/24/2011 and was last updated on 1/24/2011.

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	101YM0800X	Counselor	Mental Health	MH4219	FLORIDA	No
2	101YM0800X	Counselor	Mental Health	34003316A	INDIANA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	1437387537	OTHER	INDIANA	INDIVIDUAL NPI NUMBER

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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