Healthcare Provider Details
I. General information
NPI: 1609721083
Provider Name (Legal Business Name): BALANCED PERSPECTIVES LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 03/02/2026
Last Update Date: 03/02/2026
Certification Date: 03/02/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
642 S 77TH ST
MESA AZ
85208-6452
US
IV. Provider business mailing address
PO BOX 6651
MESA AZ
85216-6651
US
V. Phone/Fax
- Phone: 480-376-7813
- Fax: 888-414-9069
- Phone: 480-376-7813
- Fax: 888-414-9069
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 101YM0800X |
| Taxonomy | Mental Health Counselor |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
CHRISTINE
M
EWALD
Title or Position: OWNER / OPERATOR
Credential: LMHC LPC
Phone: 319-939-6196