Provider Demographics
NPI:1548579402
Name:BALAKHANE, HILDA (LCSW)
Entity Type:Individual
Prefix:MRS
First Name:HILDA
Middle Name:
Last Name:BALAKHANE
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:320 N LA PEER DR
Mailing Address - Street 2:
Mailing Address - City:BEVERLY HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:90211-1640
Mailing Address - Country:US
Mailing Address - Phone:310-499-3618
Mailing Address - Fax:
Practice Address - Street 1:320 N LA PEER DR
Practice Address - Street 2:
Practice Address - City:BEVERLY HILLS
Practice Address - State:CA
Practice Address - Zip Code:90211-1640
Practice Address - Country:US
Practice Address - Phone:310-499-3618
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-09-27
Last Update Date:2014-05-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical