MEDICARE: FINDING BALANCE CLINICAL SERVICES INC.

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	101Y00000X	Counselor

General Provider Information

NPI Number	:	1386155349
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FINDING BALANCE CLINICAL SERVICES INC.

Provider Business Mailing Address
First Line	:	120 BOSKYDELLS DR
Second Line	:
City	:	COLLINSVILLE
State	:	IL
Zip	:	62234-1901
Country	:	US
Telephone Number	:	618-792-8436
Fax Number	:

Provider Business Practice Location Address
First Line	:	410 REGENCY CTR
Second Line	:
City	:	COLLINSVILLE
State	:	IL
Zip	:	62234-4659
Country	:	US
Telephone Number	:	618-792-8436
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	AMANDA MCCALLISTER
Credential	:	LCSW
Telephone Number	:	618-792-8436

Provider Enumeration Date	:	10/18/2017
Last Update Date	:	10/18/2017

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