| Inner Balance Therapy, Llc | |
|
480 S Cache St Ofc 16 Jackson WY 83001-8222 | |
| (703) 608-1457 | |
| Not Available |
| Full Name | Inner Balance Therapy, Llc |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 480 S Cache St Ofc 16, Jackson, Wyoming |
| Authorized Official Name and Position | Kristin Poole (COUNSELOR) |
| Authorized Official Contact | 7036081457 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Inner Balance Therapy, Llc 8025 Brown Trout Bnd Victor ID 83455-5072 Ph: (703) 608-1457 | Inner Balance Therapy, Llc 480 S Cache St Ofc 16 Jackson WY 83001-8222 Ph: (703) 608-1457 |
| NPI Number | 1912744301 |
|---|---|
| Provider Enumeration Date | 07/11/2024 |
| Last Update Date | 07/11/2024 |
| Certification Date | 07/11/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912744301 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
| 261QM0855X | Clinic/center - Adolescent And Children Mental Health | (* (Not Available)) | Secondary |
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