Provider Demographics
NPI:1609235274
Name:BALANCE STRESS MANAGEMENT & THERAPY
Entity Type:Organization
Organization Name:BALANCE STRESS MANAGEMENT & THERAPY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINICAL DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:AMY
Authorized Official - Middle Name:MELISSA
Authorized Official - Last Name:SCHILLINGER
Authorized Official - Suffix:
Authorized Official - Credentials:LMFT
Authorized Official - Phone:815-761-3622
Mailing Address - Street 1:915 E PARKVIEW DR
Mailing Address - Street 2:
Mailing Address - City:SOUTH ELGIN
Mailing Address - State:IL
Mailing Address - Zip Code:60177-3262
Mailing Address - Country:US
Mailing Address - Phone:815-761-3622
Mailing Address - Fax:855-260-8266
Practice Address - Street 1:915 E PARKVIEW DR
Practice Address - Street 2:
Practice Address - City:SOUTH ELGIN
Practice Address - State:IL
Practice Address - Zip Code:60177-3262
Practice Address - Country:US
Practice Address - Phone:815-761-3622
Practice Address - Fax:855-260-8266
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-02-11
Last Update Date:2016-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL166.000876106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Single Specialty