Provider Demographics
NPI:1457096430
Name:SEEK & FIND BALANCE BEHAVIORAL HEALTH LLC
Entity Type:Organization
Organization Name:SEEK & FIND BALANCE BEHAVIORAL HEALTH LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FNP-C, PMHNP-BC
Authorized Official - Prefix:
Authorized Official - First Name:MOIS
Authorized Official - Middle Name:A
Authorized Official - Last Name:JOHNSON
Authorized Official - Suffix:
Authorized Official - Credentials:APRN
Authorized Official - Phone:662-321-5529
Mailing Address - Street 1:2301 E 20TH ST UNIT 6687
Mailing Address - Street 2:
Mailing Address - City:FARMINGTON
Mailing Address - State:NM
Mailing Address - Zip Code:87499-7231
Mailing Address - Country:US
Mailing Address - Phone:505-800-7335
Mailing Address - Fax:505-333-0444
Practice Address - Street 1:203 W MAIN ST.
Practice Address - Street 2:
Practice Address - City:FARMINGTON
Practice Address - State:NM
Practice Address - Zip Code:87401
Practice Address - Country:US
Practice Address - Phone:662-321-5529
Practice Address - Fax:505-333-0444
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-05-03
Last Update Date:2022-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Single Specialty
No305R00000XManaged Care OrganizationsPreferred Provider Organization
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NM1083993273Medicaid