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BALANCE & VITALITY PLLC NPI 1750868071


NPI Information

NPI: 1750868071
Provider Name: BALANCE & VITALITY, PLLC
Classification: Counselor - 101YM0800X
Entity Type: Organization

Specialization: Mental Health

Address:
2309 W CONE BLVD STE 218
GREENSBORO, NC
ZIP 27408
Phone: (336) 410-4161
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BALANCE & VITALITY, PLLC is a mental health counselor in Greensboro, NC. BALANCE & VITALITY, PLLC NPI is 1750868071. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

2309 W CONE BLVD STE 218
GREENSBORO, NC
ZIP 27408-047
Phone: (336) 410-4161
Fax: (336) 436-9141

The provider's authorized official is Fatima Jordan .
The authorized official title is Managing Member and has the following contact phone number (336) 410-4161.

The enumeration date for this NPI number is 7/20/2018 and was last updated on 7/20/2018.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1101YA0400XCounselorAddiction (Substance Use Disorder)No
2101YM0800XCounselorMental HealthYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11821407073OTHERNORTH CAROLINANPI

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.