MEDICARE: BALANCED PERSPECTIVE COUNSELING

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker

General Provider Information

NPI Number	:	1760220677
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BALANCED PERSPECTIVE COUNSELING

Provider Business Mailing Address
First Line	:	11806 BRUCE B DOWNS BLVD # 1061
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33612-5542
Country	:	US
Telephone Number	:	813-893-1051
Fax Number	:

Provider Business Practice Location Address
First Line	:	11711 RAINTREE VILLAGE BLVD APT A
Second Line	:
City	:	TEMPLE TERRACE
State	:	FL
Zip	:	33617-2741
Country	:	US
Telephone Number	:	813-461-7239
Fax Number	:

Authorized Official
Title or Position	:	THERAPIST- OWNER
Name	:	MS. KENDRA C FERRILLE
Credential	:	LCSW
Telephone Number	:	813-893-1051

Provider Enumeration Date	:	07/16/2024
Last Update Date	:	03/02/2026

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