| Balance Road Pllc | |
|
1130 E Millsap Rd Fayetteville AR 72703-5150 | |
| (479) 422-2280 | |
| (479) 616-1618 |
| Full Name | Balance Road Pllc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1130 E Millsap Rd, Fayetteville, Arkansas |
| Authorized Official Name and Position | Dawna Bishop Stevens (OWNER MANAGER) |
| Authorized Official Contact | 4794222280 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Balance Road Pllc Po Box 10348 Fayetteville AR 72703-0041 Ph: () - | Balance Road Pllc 1130 E Millsap Rd Fayetteville AR 72703-5150 Ph: (479) 422-2280 |
| NPI Number | 1194016519 |
|---|---|
| Provider Enumeration Date | 04/20/2011 |
| Last Update Date | 04/20/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194016519 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 2535-C (Arkansas) | Primary |
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