Healthcare Provider Details

I. General information

NPI: 1598686248
Provider Name (Legal Business Name): WELL BALANCE, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/21/2026
Last Update Date: 07/21/2026
Certification Date: 07/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5101 S NEVADA AVE STE 120
SIOUX FALLS SD
57108-2210
US

IV. Provider business mailing address

5101 S NEVADA AVE STE 120
SIOUX FALLS SD
57108-2210
US

V. Phone/Fax

Practice location:
  • Phone: 605-212-6315
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name: ELIZABETH CLAYBORNE-MOELLER
Title or Position: OWNER/THERAPIST
Credential: MS, LAC, LPC-MH
Phone: 605-212-6315