Balance Psychiatry And Wellness LLC
Psychiatry & Neurology, Psychiatry in Orlando, FL. Organization (NPI-2).
NPI number1063256089
StatusActive
Last updated in NPPESJul 1, 2024
Details
- NPI
- 1063256089
- Entity type
- Organization (NPI-2)
- Legal business name
- Balance Psychiatry And Wellness LLC
- Organization subpart
- No
- Enumeration date
- Jun 24, 2024
- Certification date
- Jul 1, 2024
- Last updated
- Jul 1, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology, Psychiatry | – | – | Yes |
| 363LP0808X | Nurse Practitioner, Psych/Mental Health | – | – |
Practice location
142 E Gore StOrlando, FL 32806-1223
Phone 307-388-0400
Mailing address
142 E Gore StOrlando, FL 32806-1223
Phone 307-388-0400
Authorized official
Briane Olson
Owner
3073880400
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