| Healthy Balance Psychology, Llc | |
|
220 Central Ave N Faribault MN 55021-5279 | |
| (507) 475-4721 | |
| (507) 323-8204 |
| Full Name | Healthy Balance Psychology, Llc |
|---|---|
| Speciality | Psychologist |
| Location | 220 Central Ave N, Faribault, Minnesota |
| Authorized Official Name and Position | Heidi Halla-bauer (ORGANIZER, OWNER) |
| Authorized Official Contact | 4042779194 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Healthy Balance Psychology, Llc 1550 Sunset Dr Sw Owatonna MN 55060-3854 Ph: (404) 277-9194 | Healthy Balance Psychology, Llc 220 Central Ave N Faribault MN 55021-5279 Ph: (507) 475-4721 |
| NPI Number | 1891312732 |
|---|---|
| Provider Enumeration Date | 06/26/2020 |
| Last Update Date | 02/06/2021 |
| Certification Date | 02/06/2021 |
| Medicare PECOS PAC ID | 6002220274 |
|---|---|
| Medicare Enrollment ID | O20210129000048 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891312732 | NPI | - | NPPES |
| 874147128A | Medicaid | GA |
| Provider Name | Heidi A Halla-bauer |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1154521292 PECOS PAC ID: 8729170188 Enrollment ID: I20161114001482 |
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