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1770377335 NPI number — BALANCED MENTAL HEALTH AND WELLNESS

NPI Number: 1770377335
Health Care Provider/Practitioner: BALANCED MENTAL HEALTH AND WELLNESS

Information about “1770377335” NPI (BALANCED MENTAL HEALTH AND WELLNESS) exists in 1770377335 in HTML format HTML  |  1770377335 in plain Text format TXT  |  1770377335 in PDF (Portable Document Format) PDF  |  1770377335 in an XML format XML  formats.

NPI Number : 1770377335 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1770377335",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "BALANCED MENTAL HEALTH AND WELLNESS",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "9720 BROADWAY ST APT 1218",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "PEARLAND",
    "MailingAddressStateName": "TX",
    "MailingAddressPostalCode": "77584-8477",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "713-385-8523",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "1220 AUGUSTA DR STE 290",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "HOUSTON",
    "PracticeLocationAddressStateName": "TX",
    "PracticeLocationAddressPostalCode": "77057-2263",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "713-428-8700",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "04/08/2025",
    "LastUpdateDate": "04/08/2025",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "TEJADA-FOSTER",
    "AuthorizedOfficialFirstName": "NORMA",
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": "MANAGER",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": "PMHNP",
    "AuthorizedOfficialTelephoneNumber": "713-385-8523",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "261QM0801X",
        "TaxonomyName": "Mental Health Clinic/Center (Including Community Mental Health Center)",
        "LicenseNumber": null,
        "LicenseNumberStateCode": null,
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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