| Collective Balance Counseling, Llc | |
|
201 Park Pl Ste 11 Bourbonnais IL 60914-1883 | |
| (815) 214-9766 | |
| Not Available |
| Full Name | Collective Balance Counseling, Llc |
|---|---|
| Speciality | Counselor |
| Location | 201 Park Pl Ste 11, Bourbonnais, Illinois |
| Authorized Official Name and Position | Megan Joy Campbell (CO-FOUNDER) |
| Authorized Official Contact | 8159442752 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Collective Balance Counseling, Llc 201 Park Pl Ste 11 Bourbonnais IL 60914-1883 Ph: (815) 214-9766 | Collective Balance Counseling, Llc 201 Park Pl Ste 11 Bourbonnais IL 60914-1883 Ph: (815) 214-9766 |
| NPI Number | 1265998058 |
|---|---|
| Provider Enumeration Date | 02/16/2019 |
| Last Update Date | 02/16/2019 |
| Medicare PECOS PAC ID | 5597287938 |
|---|---|
| Medicare Enrollment ID | O20250519001687 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265998058 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Provider Name | Ashley Mae Phelan |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1982289807 PECOS PAC ID: 3173041670 Enrollment ID: I20250519002010 |
| Provider Name | Erin Nicole Doherty |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1336969146 PECOS PAC ID: 0244749752 Enrollment ID: I20250604003147 |
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