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General NPI Number Information
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NPI Number | 1770377335
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Entity Type | Organization
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Legal Business Name | BALANCED MENTAL HEALTH AND WELLNESS
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Dates
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Enumeration Date | 04/08/2025
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Last Update Date | 04/08/2025
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Provider Practice Location Address
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Address Line | 1220 AUGUSTA DR STE 290
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City | HOUSTON
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State | TX
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Zip | 77057-2263
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Country | US
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Telephone | 713-428-8700
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Fax |
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Provider Business Mailing Address
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Address Line | 9720 BROADWAY ST APT 1218
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City | PEARLAND
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State | TX
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Zip | 77584-8477
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Country | US
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Telephone | 713-385-8523
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Fax |
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Authorized Official
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Title or Position | MANAGER
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Name | NORMA TEJADA-FOSTER
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Credential | PMHNP
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Telephone | 713-385-8523
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State |
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