Aequi Balance Counseling
Organization Active NPI Mental Health Counselor · Evanston, IL
NPI 1417690249 · NPPES record last updated Apr 19, 2022
Key facts
- NPI
- 1417690249
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Mental Health Counselor 101YM0800X
- Legal business name
- AEQUI BALANCE COUNSELING
- Practice address
- 1557 Sherman Ave Ste 4
Evanston, IL 60201-4836 - Phone
- (773) 964-8037
- NPI assigned
- Apr 19, 2022
- Organization subpart
- No
Authorized official
- Name
- Jasmin Walker
- Title
- LCPC
- Phone
- (773) 964-8037
National Provider Directory
Locations
1557 Sherman Ave
Ste 4
Evanston, IL 60201
Phone (773) 255-0264
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor |
101YM0800X | Yes | ||
| Adult Mental Health Clinic/Center | 261QM0850X | |||
| Adolescent and Children Mental Health Clinic/Center | 261QM0855X |
Addresses
Primary practice location
1557 Sherman Ave Ste 4
Evanston, IL 60201-4836
Mailing address
1557 Sherman Ave Ste 4
Evanston, IL 60201-4836
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | info@aequibalance.com | Direct |
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 19, 2022. 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.