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NPI Code Detail

MEDICARE: BALANCED LIFE COUNSELING

MEDICARE: BALANCED LIFE 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
11041C0700XClinical Social Worker
2101YM0800XMental Health Counselor

General Provider Information

NPI Number : 1427414382
Entity Type Code : Organization
Provider Name (Legal Business Name) : BALANCED LIFE COUNSELING
Provider Business Mailing Address
First Line : 1748 N KIMBALL AVE STE 206
Second Line :
City : CHICAGO
State : IL
Zip : 60647-4806
Country : US
Telephone Number : 773-273-9149
Fax Number :
Provider Business Practice Location Address
First Line : 1748 N KIMBALL AVE STE 206
Second Line :
City : CHICAGO
State : IL
Zip : 60647-4806
Country : US
Telephone Number : 773-273-9149
Fax Number :
Authorized Official
Title or Position : OWNER
Name : REBECCA SLUSHER
Credential : MA, LCPC
Telephone Number : 773-273-9149
Provider Enumeration Date : 01/07/2016
Last Update Date : 01/29/2026

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Directions to “BALANCED LIFE COUNSELING ” Practice Location

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