Provider Demographics
NPI:1760220677
Name:BALANCED PERSPECTIVE COUNSELING , LLC
Entity type:Organization
Organization Name:BALANCED PERSPECTIVE COUNSELING , LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:THERAPIST- OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:KENDRA
Authorized Official - Middle Name:C
Authorized Official - Last Name:FERRILLE
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:813-893-1051
Mailing Address - Street 1:11806 BRUCE B DOWNS BLVD # 1061
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33612-5542
Mailing Address - Country:US
Mailing Address - Phone:813-893-1051
Mailing Address - Fax:
Practice Address - Street 1:11711 RAINTREE VILLAGE BLVD APT A
Practice Address - Street 2:
Practice Address - City:TEMPLE TERRACE
Practice Address - State:FL
Practice Address - Zip Code:33617-2741
Practice Address - Country:US
Practice Address - Phone:813-461-7239
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-07-16
Last Update Date:2024-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty