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NPI Code Detail

MEDICARE: TRUE BALANCE THERAPY & WELLNESS LLC

MEDICARE: TRUE BALANCE THERAPY & WELLNESS LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YA0400XAddiction (Substance Use Disorder) Counselor
2103TB0200XCognitive & Behavioral Psychologist
3103TC0700XClinical Psychologist
4103TC2200XClinical Child & Adolescent Psychologist
5103TF0000XFamily Psychologist
61041C0700XClinical Social Worker
72084B0040XBehavioral Neurology & Neuropsychiatry Physician
82084P0800XPsychiatry Physician
92084P0804XChild & Adolescent Psychiatry Physician
10363L00000XNurse Practitioner
11363LA2200XAdult Health Nurse Practitioner
12363LP0808XPsychiatric/Mental Health Nurse Practitioner
13101YM0800XMental Health Counselor

General Provider Information

NPI Number : 1376348318
Entity Type Code : Organization
Provider Name (Legal Business Name) : TRUE BALANCE THERAPY & WELLNESS LLC
Provider Business Mailing Address
First Line : 4701 VAN DORN ST STE A
Second Line :
City : LINCOLN
State : NE
Zip : 68506-2511
Country : US
Telephone Number : 402-413-1686
Fax Number :
Provider Business Practice Location Address
First Line : 4701 VAN DORN ST STE A
Second Line :
City : LINCOLN
State : NE
Zip : 68506-2511
Country : US
Telephone Number : 402-413-1686
Fax Number :
Authorized Official
Title or Position : BILLING & CREDENTIALING DIRECTOR
Name : ASIA ALI
Credential :
Telephone Number : 402-413-1684
Provider Enumeration Date : 02/14/2025
Last Update Date : 05/19/2025

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Directions to “TRUE BALANCE THERAPY & WELLNESS LLC ” Practice Location

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