| Balance Therapy And Wellness Llc | |
|
1300 Sunset Dr Ste Z Grenada MS 38901-4082 | |
| (662) 307-9028 | |
| (662) 499-3169 |
| Full Name | Balance Therapy And Wellness Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 1300 Sunset Dr Ste Z, Grenada, Mississippi |
| Authorized Official Name and Position | Keshia Dukes (OWNER/CLINICIAN) |
| Authorized Official Contact | 6623079028 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Balance Therapy And Wellness Llc 1300 Sunset Dr Ste Z Grenada MS 38901-4082 Ph: (662) 307-9028 | Balance Therapy And Wellness Llc 1300 Sunset Dr Ste Z Grenada MS 38901-4082 Ph: (662) 307-9028 |
| NPI Number | 1104630862 |
|---|---|
| Provider Enumeration Date | 02/04/2025 |
| Last Update Date | 02/04/2025 |
| Certification Date | 02/04/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104630862 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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