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General NPI Number Information
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NPI Number | 1114413457
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Entity Type | Organization
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Legal Business Name | THE BALANCED CENTER, LLC
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Dates
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Enumeration Date | 07/10/2018
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Last Update Date | 02/26/2025
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Provider Practice Location Address
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Address Line | 444 SKOKIE BLVD STE 340
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City | WILMETTE
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State | IL
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Zip | 60091-3074
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Country | US
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Telephone | 847-906-3092
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Fax | 815-521-1889
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Provider Business Mailing Address
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Address Line | PO BOX 613
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City | CHANNAHON
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State | IL
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Zip | 60410-0613
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Country | US
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Telephone | 815-521-1889
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Fax | 815-521-1889
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Authorized Official
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Title or Position | OWNER
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Name | KATHERINE P MCCARTHY
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Credential | LCPC
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Telephone | 847-906-3092
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 180006701
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License Number State | IL
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