Provider Demographics
NPI:1669230686
Name:BALANCED PERSPECTIVE PSYCHOLOGICAL SERVICES INC
Entity type:Organization
Organization Name:BALANCED PERSPECTIVE PSYCHOLOGICAL SERVICES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:HENRY
Authorized Official - Middle Name:M
Authorized Official - Last Name:SEYBOLD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:815-997-3278
Mailing Address - Street 1:529 S SUMMIT ST
Mailing Address - Street 2:
Mailing Address - City:BARRINGTON
Mailing Address - State:IL
Mailing Address - Zip Code:60010-4413
Mailing Address - Country:US
Mailing Address - Phone:815-997-3278
Mailing Address - Fax:
Practice Address - Street 1:605 N MICHIGAN AVE STE 418
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60611-3141
Practice Address - Country:US
Practice Address - Phone:815-997-3278
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-03-13
Last Update Date:2024-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Multi-Specialty