Healthcare Provider Details

I. General information

NPI: 1861302770
Provider Name (Legal Business Name): BALANCED CONNECTIONS MENTAL CARE, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/11/2026
Last Update Date: 09/11/2026
Certification Date: 09/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5735 E HELIOS DR
FLORENCE AZ
85132-5606
US

IV. Provider business mailing address

21168 E OCOTILLO RD # 1271
QUEEN CREEK AZ
85142-8175
US

V. Phone/Fax

Practice location:
  • Phone: 520-677-8025
  • Fax: 888-205-9338
Mailing address:
  • Phone: 520-677-8025
  • Fax: 888-205-9338

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: JETTA VALLE
Title or Position: OWNER/MANAGING MEMBER
Credential: MSN, FNP-BC, PMHNP-B
Phone: 606-571-5117