Healthcare Provider Details

I. General information

NPI: 1699652081
Provider Name (Legal Business Name): INNER BALANCE PSYCHIATRY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/19/2025
Last Update Date: 03/14/2026
Certification Date: 03/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1720 MERRIMAN RD UNIT N
AKRON OH
44313-5280
US

IV. Provider business mailing address

1720 MERRIMAN RD UNIT N
AKRON OH
44313-5280
US

V. Phone/Fax

Practice location:
  • Phone: 440-201-9997
  • Fax: 440-349-1786
Mailing address:
  • Phone: 440-201-9997
  • Fax: 440-349-1786

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: JUDITH GRAY
Title or Position: OWNER
Credential: NP
Phone: 440-201-9997