Healthcare Provider Details

I. General information

NPI: 1710818489
Provider Name (Legal Business Name): RENEWED BALANCE PSYCHIATRY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/29/2026
Last Update Date: 05/29/2026
Certification Date: 05/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8130 MORRISON RD
NEW ORLEANS LA
70126-2125
US

IV. Provider business mailing address

8130 MORRISON RD
NEW ORLEANS LA
70126-2125
US

V. Phone/Fax

Practice location:
  • Phone: 985-750-4913
  • Fax:
Mailing address:
  • Phone: 985-750-4913
  • Fax:

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: MRS. VINCENTORIA POWELL CONLEY
Title or Position: OWNER
Credential: PMHNP
Phone: 985-750-4913