Life Balance

NPI #1477782472 in Rockford, Illinois

Provider Information

NPI Number: 1477782472
Entity Type: Organization
Organization Name: Life Balance
Subpart: Yes (part of a larger organization)
Parent Organization: ROBERT TUTT
Primary Specialty: Counselor - Professional
Enumeration Date: Jul 11, 2009
Last Updated: Jul 11, 2009

Practice Location

Address: 5301 E STATE ST
Address 2: SUITE 203
City: Rockford
State: Illinois
ZIP Code: 61108-2901
Phone: (815) 978-4749

Authorized Official

Name: MR. ROBERT CHARLES TUTT, LCPC
Title: OWNER
Phone: (815) 978-4749

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder)	101YA0400X
Counselor - Professional — Professional	101YP2500X	Primary

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