| Inner Balance, Llc | |
|
27 Birdseye Ave Caribou ME 04736-1620 | |
| (207) 498-9662 | |
| Not Available |
| Full Name | Inner Balance, Llc |
|---|---|
| Speciality | Social Worker |
| Location | 27 Birdseye Ave, Caribou, Maine |
| Authorized Official Name and Position | Merry Bragg (OWNER) |
| Authorized Official Contact | 2074989662 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Inner Balance, Llc 40 Coolidge Ave Caribou ME 04736-2436 Ph: () - | Inner Balance, Llc 27 Birdseye Ave Caribou ME 04736-1620 Ph: (207) 498-9662 |
| NPI Number | 1609637347 |
|---|---|
| Provider Enumeration Date | 01/19/2024 |
| Last Update Date | 01/19/2024 |
| Certification Date | 01/19/2024 |
| Medicare PECOS PAC ID | 0042753089 |
|---|---|
| Medicare Enrollment ID | O20240619001095 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609637347 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Merry Morgan Bragg |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1699188748 PECOS PAC ID: 4587901293 Enrollment ID: I20190201002384 |
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