Organization
BODHI TREE CENTER FOR HOLISTIC THERAPY LLC
Active
Other names
BODHI TREE CENTER FOR HOLISTIC THERAPY PLLC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT BALLANTYNE PSYD (OWNER)
(313) 282-1156
Entity
Organization
Contact information
Practice address
1300 W BELMONT AVE STE 400D, CHICAGO, IL 60657-3200
(313) 307-4772
Mailing address
1300 W BELMONT AVE STE 400D, CHICAGO, IL 60657-3200
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
—
Other
Enumeration date
11/07/2022
Last updated
04/09/2026
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