Provider Demographics
NPI:1225764624
Name:BALIN, ELIF (LPC, NCC, PHD)
Entity Type:Individual
Prefix:DR
First Name:ELIF
Middle Name:
Last Name:BALIN
Suffix:
Gender:F
Credentials:LPC, NCC, PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10 HIBBERT CT
Mailing Address - Street 2:
Mailing Address - City:PACIFICA
Mailing Address - State:CA
Mailing Address - Zip Code:94044-1915
Mailing Address - Country:US
Mailing Address - Phone:814-206-4420
Mailing Address - Fax:
Practice Address - Street 1:10 HIBBERT CT
Practice Address - Street 2:
Practice Address - City:PACIFICA
Practice Address - State:CA
Practice Address - Zip Code:94044-1915
Practice Address - Country:US
Practice Address - Phone:814-206-4420
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-07-27
Last Update Date:2022-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPC007519101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty