Provider Demographics
NPI:1154538627
Name:BALANCE PERSPECTIVES INC
Entity type:Organization
Organization Name:BALANCE PERSPECTIVES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:S
Authorized Official - Last Name:SHOPE
Authorized Official - Suffix:
Authorized Official - Credentials:MA LMHC NCC
Authorized Official - Phone:360-352-1052
Mailing Address - Street 1:PO BOX 4141
Mailing Address - Street 2:
Mailing Address - City:OLYMPIA
Mailing Address - State:WA
Mailing Address - Zip Code:98501-0141
Mailing Address - Country:US
Mailing Address - Phone:360-352-1052
Mailing Address - Fax:360-352-0956
Practice Address - Street 1:1610 BISHOP RD SW
Practice Address - Street 2:SUITE 105
Practice Address - City:TUMWATER
Practice Address - State:WA
Practice Address - Zip Code:98512-7303
Practice Address - Country:US
Practice Address - Phone:360-352-1052
Practice Address - Fax:360-352-0956
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-16
Last Update Date:2012-05-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALHOOOO3919101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty