NPI 1609235274 · live from the CMS NPI Registry
Balance Stress Management & Therapy
Marriage & Family Therapist in South Elgin, IL. National Provider Identifier 1609235274, active.
NPI record
| NPI | 1609235274 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Marriage & Family Therapist 106H00000X |
| Practice location | 915 E Parkview Dr, South Elgin, IL 60177 |
| Practice phone | 815-761-3622 |
| Enumerated | February 11, 2016 |
| Last updated | February 11, 2016 |
| Authorized official | Amy Schillinger, Clinical Director |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Marriage & Family Therapist primary | 106H00000X | 166.000876 (IL) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.