Provider Demographics
NPI:1629563218
Name:BALANCE LINK THERAPY GROUP PLLC
Entity Type:Organization
Organization Name:BALANCE LINK THERAPY GROUP PLLC
Other - Org Name:THE BALANCE LINK GROUP
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:FOUNDER/ THERAPIST
Authorized Official - Prefix:MS
Authorized Official - First Name:CHRYSTAL
Authorized Official - Middle Name:N
Authorized Official - Last Name:WESTBROOK
Authorized Official - Suffix:
Authorized Official - Credentials:MA LPC
Authorized Official - Phone:248-842-4501
Mailing Address - Street 1:383 TILMOR DR
Mailing Address - Street 2:
Mailing Address - City:WATERFORD
Mailing Address - State:MI
Mailing Address - Zip Code:48328-2565
Mailing Address - Country:US
Mailing Address - Phone:248-842-4501
Mailing Address - Fax:
Practice Address - Street 1:383 TILMOR DR
Practice Address - Street 2:
Practice Address - City:WATERFORD
Practice Address - State:MI
Practice Address - Zip Code:48328-2565
Practice Address - Country:US
Practice Address - Phone:248-842-4501
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-06-26
Last Update Date:2023-01-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI6401012818101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty