Provider Demographics
NPI:1235723206
Name:A BALANCED MIND PC
Entity Type:Organization
Organization Name:A BALANCED MIND PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:REBECCA
Authorized Official - Middle Name:DAWN
Authorized Official - Last Name:SLOMINSKI
Authorized Official - Suffix:
Authorized Official - Credentials:APRN
Authorized Official - Phone:402-540-7915
Mailing Address - Street 1:22025 TRAILRIDGE BLVD
Mailing Address - Street 2:
Mailing Address - City:ELKHORN
Mailing Address - State:NE
Mailing Address - Zip Code:68022-2508
Mailing Address - Country:US
Mailing Address - Phone:402-540-7915
Mailing Address - Fax:
Practice Address - Street 1:22025 TRAILRIDGE BLVD
Practice Address - Street 2:
Practice Address - City:ELKHORN
Practice Address - State:NE
Practice Address - Zip Code:68022-2508
Practice Address - Country:US
Practice Address - Phone:402-540-7915
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:A BALANCED MIND PC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2021-02-21
Last Update Date:2021-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Single Specialty