MEDICARE: SCRIPTED BALANCE MENTAL HEALTH & WELLNESS

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
1	363LF0000X	Family Nurse Practitioner
2	363LP0808X	Psychiatric/Mental Health Nurse Practitioner

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1932065950
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SCRIPTED BALANCE MENTAL HEALTH & WELLNESS

Provider Business Mailing Address
First Line	:	6347 NATIONAL PIKE
Second Line	:
City	:	GRINDSTONE
State	:	PA
Zip	:	15442-1114
Country	:	US
Telephone Number	:	724-317-8922
Fax Number	:	844-689-5174

Provider Business Practice Location Address
First Line	:	6347 NATIONAL PIKE UNIT A
Second Line	:
City	:	GRINDSTONE
State	:	PA
Zip	:	15442-1114
Country	:	US
Telephone Number	:	724-317-8922
Fax Number	:	844-689-5174

Authorized Official
Title or Position	:	OWNER
Name	:	SAMANTHA Q BUSH
Credential	:	FNP-BC, PMHNP-BC
Telephone Number	:	724-317-8922

Provider Enumeration Date	:	01/03/2026
Last Update Date	:	05/20/2026

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Directions to “SCRIPTED BALANCE MENTAL HEALTH & WELLNESS ” Practice Location

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