Healthcare Provider Details

I. General information

NPI: 1275977910
Provider Name (Legal Business Name): BALANCE POINT COLLABORATIVE, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/24/2013
Last Update Date: 04/24/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

263 HAYWOOD ST SUITE 100
ASHEVILLE NC
28801-2618
US

IV. Provider business mailing address

263 HAYWOOD ST SUITE 100
ASHEVILLE NC
28801-2618
US

V. Phone/Fax

Practice location:
  • Phone: 828-367-7595
  • Fax: 828-490-1744
Mailing address:
  • Phone: 828-367-7595
  • Fax: 828-490-1744

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberC006861
License Number StateNC
# 2
Primary TaxonomyN
Taxonomy Code133V00000X
TaxonomyRegistered Dietitian
License Number003849
License Number StateNC

VIII. Authorized Official

Name: MRS. MICHELLE D MENDEZ-YOUELL
Title or Position: PRESIDENT, EXECUTIVE DIRECTOR
Credential: MSW, LCSW, LCAS, RYT
Phone: 828-367-7595