Balanced Living Therapy, PLLC
Organization Active NPI Clinical Social Worker · Deerfield, IL
NPI 1114719986 · NPPES record last updated May 19, 2025
Key facts
- NPI
- 1114719986
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Clinical Social Worker 1041C0700X
- Legal business name
- BALANCED LIVING THERAPY, PLLC
- Practice address
- 677 Wilmot Rd
Deerfield, IL 60015-3956 - Phone
- (847) 242-1145
- NPI assigned
- May 19, 2025
- Organization subpart
- No
Authorized official
- Name
- Mrs. Danielle Tobias Goldman, LCSW
- Title
- Owner
- Phone
- (847) 242-1145
Practitioners 1
-
Danielle Tobias Goldman, LCSW
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker |
1041C0700X | Yes |
Addresses
Primary practice location
677 Wilmot Rd
Deerfield, IL 60015-3956
Mailing address
677 Wilmot Rd
Deerfield, IL 60015-3956
Phone (847) 242-1145
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All providers in Deerfield, IL · Clinical Social Worker in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 19, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.