| A Balanced Life Llc | |
|
6155 Oak St Ste B Kansas City MO 64113-2266 | |
| (816) 607-3091 | |
| (816) 494-1952 |
| Full Name | A Balanced Life Llc |
|---|---|
| Speciality | Social Worker |
| Location | 6155 Oak St Ste B, Kansas City, Missouri |
| Authorized Official Name and Position | Jane Rachelle Mckinney (OWNER/ PROVIDER) |
| Authorized Official Contact | 8166073091 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| A Balanced Life Llc 6155 Oak St Ste B Kansas City MO 64113-2266 Ph: (816) 607-3091 | A Balanced Life Llc 6155 Oak St Ste B Kansas City MO 64113-2266 Ph: (816) 607-3091 |
| NPI Number | 1518442698 |
|---|---|
| Provider Enumeration Date | 09/25/2018 |
| Last Update Date | 02/28/2023 |
| Certification Date | 02/28/2023 |
| Medicare PECOS PAC ID | 3173865326 |
|---|---|
| Medicare Enrollment ID | O20190508002380 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518442698 | NPI | - | NPPES |
| Provider Name | Jane Mckinney |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1619093820 PECOS PAC ID: 3577605328 Enrollment ID: I20100118000037 |
| Provider Name | Terry K Paine |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1972898278 PECOS PAC ID: 6406087840 Enrollment ID: I20140327000910 |
| Provider Name | Nicholas Van Walleghem |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1104406271 PECOS PAC ID: 1951783208 Enrollment ID: I20220802003860 |
| Provider Name | Kayla S Gallo |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1225773286 PECOS PAC ID: 3678956315 Enrollment ID: I20220813000118 |
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