| Balanced Counseling And Consulting Pllc | |
|
522 Beltrami Ave Nw Ste 116 Bemidji MN 56601-3002 | |
| (218) 308-9357 | |
| Not Available |
| Full Name | Balanced Counseling And Consulting Pllc |
|---|---|
| Speciality | Counselor |
| Location | 522 Beltrami Ave Nw Ste 116, Bemidji, Minnesota |
| Authorized Official Name and Position | Shawn Michael Whiting (OWNER/COUNSELOR) |
| Authorized Official Contact | 2183089357 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Balanced Counseling And Consulting Pllc 210 24th St Ne Bemidji MN 56601-2310 Ph: (218) 308-9357 | Balanced Counseling And Consulting Pllc 522 Beltrami Ave Nw Ste 116 Bemidji MN 56601-3002 Ph: (218) 308-9357 |
| NPI Number | 1184393928 |
|---|---|
| Provider Enumeration Date | 09/07/2021 |
| Last Update Date | 09/09/2021 |
| Certification Date | 09/09/2021 |
| Medicare PECOS PAC ID | 9931543634 |
|---|---|
| Medicare Enrollment ID | O20240221002977 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184393928 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
| Provider Name | Shawn Whiting |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1871843672 PECOS PAC ID: 0840634549 Enrollment ID: I20240221003107 |
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