Provider Demographics
NPI:1396370797
Name:BALANCING MINDS LLC
Entity Type:Organization
Organization Name:BALANCING MINDS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PROVIDER
Authorized Official - Prefix:
Authorized Official - First Name:MANDY
Authorized Official - Middle Name:MELISSA
Authorized Official - Last Name:BROWNING
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:417-350-1254
Mailing Address - Street 1:1722 S. GLENSTONE
Mailing Address - Street 2:SUITE W, ROOM 106
Mailing Address - City:SPRINGFIELD
Mailing Address - State:MO
Mailing Address - Zip Code:65804
Mailing Address - Country:US
Mailing Address - Phone:417-350-1254
Mailing Address - Fax:417-350-1247
Practice Address - Street 1:1722 S. GLENSTONE
Practice Address - Street 2:SUITE W, ROOM 106
Practice Address - City:SPRINGFIELD
Practice Address - State:MO
Practice Address - Zip Code:65804
Practice Address - Country:US
Practice Address - Phone:417-350-1254
Practice Address - Fax:417-350-1247
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-03-05
Last Update Date:2020-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty