| Rebalance Therapy Mind. Body. Soul. | |
|
550 W Juneau Ave Apt 220 Milwaukee WI 53203-1002 | |
| (414) 446-1196 | |
| Not Available |
| Full Name | Rebalance Therapy Mind. Body. Soul. |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 550 W Juneau Ave Apt 220, Milwaukee, Wisconsin |
| Authorized Official Name and Position | Nina Monet Dismukes (OWNER/CEO) |
| Authorized Official Contact | 4144461196 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Rebalance Therapy Mind. Body. Soul. 550 W Juneau Ave Apt 220 Milwaukee WI 53203-1002 Ph: (414) 446-1196 | Rebalance Therapy Mind. Body. Soul. 550 W Juneau Ave Apt 220 Milwaukee WI 53203-1002 Ph: (414) 446-1196 |
| NPI Number | 1770360968 |
|---|---|
| Provider Enumeration Date | 09/11/2023 |
| Last Update Date | 09/11/2023 |
| Certification Date | 09/11/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770360968 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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