Provider Demographics
NPI:1083167076
Name:BALANCED PERSPECTIVES PSYCHOLOGICAL SERVICES, LLC
Entity Type:Organization
Organization Name:BALANCED PERSPECTIVES PSYCHOLOGICAL SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PSYCHOLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:ANN
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:HETZEL
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:484-547-1078
Mailing Address - Street 1:691 WESTRAY DR
Mailing Address - Street 2:
Mailing Address - City:WESTERVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:43081-7701
Mailing Address - Country:US
Mailing Address - Phone:484-547-1078
Mailing Address - Fax:614-452-6188
Practice Address - Street 1:550 S CLEVELAND AVE STE G1
Practice Address - Street 2:
Practice Address - City:WESTERVILLE
Practice Address - State:OH
Practice Address - Zip Code:43081-8958
Practice Address - Country:US
Practice Address - Phone:614-808-3632
Practice Address - Fax:614-452-6188
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-07-26
Last Update Date:2023-06-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH6648103T00000X
261QM0801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Multi-Specialty
No261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)Group - Multi-Specialty