Provider Demographics
NPI:1578970604
Name:BALANCED PERSPECTIVES PSYCHOTHERAPY SERVICES LLC
Entity Type:Organization
Organization Name:BALANCED PERSPECTIVES PSYCHOTHERAPY SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
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 1:2233 WALBERT AVE
Mailing Address - Street 2:SECOND FLOOR
Mailing Address - City:ALLENTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:18104-1363
Mailing Address - Country:US
Mailing Address - Phone:484-547-1078
Mailing Address - Fax:
Practice Address - Street 1:2233 WALBERT AVE
Practice Address - Street 2:SECOND FLOOR
Practice Address - City:ALLENTOWN
Practice Address - State:PA
Practice Address - Zip Code:18104-1363
Practice Address - Country:US
Practice Address - Phone:484-547-1078
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-07-21
Last Update Date:2014-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPC007017251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health