Healthcare Provider Details

I. General information

NPI: 1821809351
Provider Name (Legal Business Name): BALANCED MIND AND WELLNESS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/15/2025
Last Update Date: 02/25/2026
Certification Date: 02/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

481 HACKENSACK AVE FL 2
HACKENSACK NJ
07601-6330
US

IV. Provider business mailing address

501 N RTE 17 STE 1
PARAMUS NJ
07652-3000
US

V. Phone/Fax

Practice location:
  • Phone: 201-881-9773
  • Fax: 254-629-5535
Mailing address:
  • Phone: 201-881-9773
  • Fax: 254-629-5535

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: ANITA DURNEN
Title or Position: OWNER
Credential:
Phone: 201-881-9773