Provider Demographics
NPI:1538951298
Name:BALA, NIKHAT (QMPH)
Entity type:Individual
Prefix:MRS
First Name:NIKHAT
Middle Name:
Last Name:BALA
Suffix:
Gender:F
Credentials:QMPH
Other - Prefix:MRS
Other - First Name:NIKHAT
Other - Middle Name:
Other - Last Name:BALA
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:33 W HIGGINS RD STE 610
Mailing Address - Street 2:
Mailing Address - City:SOUTH BARRINGTON
Mailing Address - State:IL
Mailing Address - Zip Code:60010-9387
Mailing Address - Country:US
Mailing Address - Phone:815-529-7878
Mailing Address - Fax:
Practice Address - Street 1:33 W HIGGINS RD STE 610
Practice Address - Street 2:
Practice Address - City:SOUTH BARRINGTON
Practice Address - State:IL
Practice Address - Zip Code:60010-9387
Practice Address - Country:US
Practice Address - Phone:815-529-7878
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-05-20
Last Update Date:2025-05-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health