Balanced Living Therapy, PLLC
Social Worker, Clinical in Deerfield, IL. Organization (NPI-2).
NPI number1114719986
StatusActive
Last updated in NPPESMay 19, 2025
Details
- NPI
- 1114719986
- Entity type
- Organization (NPI-2)
- Legal business name
- Balanced Living Therapy, PLLC
- Organization subpart
- No
- Enumeration date
- May 19, 2025
- Certification date
- May 19, 2025
- Last updated
- May 19, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | – | – | Yes |
Practice location
677 Wilmot RdDeerfield, IL 60015-3956
Phone 847-242-1145
Mailing address
677 Wilmot RdDeerfield, IL 60015-3956
Phone 847-242-1145
Authorized official
Danielle Tobias Goldman
Owner
8472421145
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