Healthcare Provider Details

I. General information

NPI: 1790621720
Provider Name (Legal Business Name): BE WELL & BALANCED PSYCHIATRY, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/23/2026
Last Update Date: 04/23/2026
Certification Date: 04/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

324 N EUCLID AVE
PIERRE SD
57501-2138
US

IV. Provider business mailing address

324 N EUCLID AVE
PIERRE SD
57501-2138
US

V. Phone/Fax

Practice location:
  • Phone: 605-516-0281
  • Fax:
Mailing address:
  • Phone: 605-516-0281
  • 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: MYRANDA BRANDNER
Title or Position: OWNER/ NURSE PRACTITIONER
Credential: PMHNP-BC
Phone: 605-516-0281