Provider Demographics
NPI:1366859662
Name:UNDERSTAND BALANCE MENTAL HEALTH CARE
Entity Type:Organization
Organization Name:UNDERSTAND BALANCE MENTAL HEALTH CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ARNP
Authorized Official - Prefix:
Authorized Official - First Name:JANA
Authorized Official - Middle Name:
Authorized Official - Last Name:PURDY
Authorized Official - Suffix:
Authorized Official - Credentials:ARNP
Authorized Official - Phone:253-448-3502
Mailing Address - Street 1:34936 10TH PL SW
Mailing Address - Street 2:
Mailing Address - City:FEDERAL WAY
Mailing Address - State:WA
Mailing Address - Zip Code:98023-8100
Mailing Address - Country:US
Mailing Address - Phone:253-448-3542
Mailing Address - Fax:
Practice Address - Street 1:720 6TH AVE APT 101
Practice Address - Street 2:
Practice Address - City:TACOMA
Practice Address - State:WA
Practice Address - Zip Code:98405-4661
Practice Address - Country:US
Practice Address - Phone:253-448-3542
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-07-18
Last Update Date:2014-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAAP60296832261QM0850X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health