| Balanced Minds Wellness Pllc | |
|
312 E College St Iowa City IA 52240-1696 | |
| (641) 777-9655 | |
| Not Available |
| Full Name | Balanced Minds Wellness Pllc |
|---|---|
| Speciality | Clinic/Center |
| Location | 312 E College St, Iowa City, Iowa |
| Authorized Official Name and Position | Jessie Alex (NURSE PRACTITIONER/OWNER) |
| Authorized Official Contact | 6417779655 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Balanced Minds Wellness Pllc 623 Pepper Dr Iowa City IA 52240-4330 Ph: () - | Balanced Minds Wellness Pllc 312 E College St Iowa City IA 52240-1696 Ph: (641) 777-9655 |
| NPI Number | 1225744717 |
|---|---|
| Provider Enumeration Date | 01/27/2023 |
| Last Update Date | 02/13/2023 |
| Certification Date | 02/13/2023 |
| Medicare PECOS PAC ID | 1658746995 |
|---|---|
| Medicare Enrollment ID | O20230418002830 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225744717 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Jessie R Alex |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801200530 PECOS PAC ID: 2961629944 Enrollment ID: I20140814002786 |
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