Balla, Ildiko
Balla, Ildiko is an sole proprietor health care provider with primary practice located at 4200 S Hulen St Ste 658 , Fort Worth TX 76109-4987. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Counseling, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Balla, Ildiko can be contacted via phone (682) 597-3933.Contact Information
Primary practice address
4200 S Hulen St Ste 658
Fort Worth TX 76109-4987
Phone: (682) 597-3933
Fax: (817) 274-8443
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | 16553 | Texas |
Behavioral Health & Social Service Providers / Counseling | 103TC1900X | 32879 | Texas |
Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 32879 | Texas |
Profile Details
NPI number | 1437368446 |
---|---|
LBN Legal business name | Balla, Ildiko |
Credentials | PH.D. |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | May 22nd, 2007 |
Last updated | Mar 7th, 2012 - about 13 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1437368446 | NPPES |
Texas | MEDICAID | 028537102 |
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