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General NPI Number Information
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NPI Number | 1265205025
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Entity Type | Individual
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Provider Name | ERIC ROBERT BALLEIN LPC
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Gender | Male
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Dates
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Enumeration Date | 11/03/2023
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Last Update Date | 02/14/2026
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Provider Practice Location Address
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Address Line | 8379 W SUNSET RD STE 140
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City | LAS VEGAS
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State | NV
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Zip | 89113-2248
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Country | US
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Telephone | 702-212-3008
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Fax | 702-933-3064
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Provider Business Mailing Address
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Address Line | 5373 PAINTED MIRAGE RD
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City | LAS VEGAS
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State | NV
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Zip | 89149-0310
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Country | US
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Telephone | 937-554-4894
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | E.2404615
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | CP55929-R
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License Number State | NV
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