Provider Demographics
NPI:1346663689
Name:LIFE BALANCE COUNSELING, INC.
Entity Type:Organization
Organization Name:LIFE BALANCE COUNSELING, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/LCPC
Authorized Official - Prefix:
Authorized Official - First Name:JENNIFER
Authorized Official - Middle Name:
Authorized Official - Last Name:BUDRUWEIT
Authorized Official - Suffix:
Authorized Official - Credentials:MA, LCPC
Authorized Official - Phone:888-234-7628
Mailing Address - Street 1:200 W HIGGINS RD
Mailing Address - Street 2:SUITES 205, 231
Mailing Address - City:SCHAUMBURG
Mailing Address - State:IL
Mailing Address - Zip Code:60195-3718
Mailing Address - Country:US
Mailing Address - Phone:888-234-7628
Mailing Address - Fax:888-234-7628
Practice Address - Street 1:200 W HIGGINS RD
Practice Address - Street 2:SUITES 205, 231
Practice Address - City:SCHAUMBURG
Practice Address - State:IL
Practice Address - Zip Code:60195-3718
Practice Address - Country:US
Practice Address - Phone:888-234-7628
Practice Address - Fax:888-234-7628
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-01-22
Last Update Date:2015-03-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL180008946101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty