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General NPI Number Information
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NPI Number | 1881463701
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Entity Type | Organization
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Legal Business Name | WELL-BALANCED SOLUTIONS
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Dates
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Enumeration Date | 12/20/2023
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Last Update Date | 03/27/2025
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Provider Practice Location Address
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Address Line | 999 WATERSIDE DR STE 2525
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City | NORFOLK
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State | VA
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Zip | 23510-3316
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Country | US
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Telephone | 704-727-7008
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Fax | 704-774-6922
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Provider Business Mailing Address
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Address Line | 2015 AYRSLEY TOWN BLVD STE 202
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City | CHARLOTTE
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State | NC
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Zip | 28273-4068
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | NURSE PRACTITIONER/OWNER
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Name | TANITA SWEAT
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Credential | NP
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Telephone | 704-727-7008
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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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Taxonomy #2
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number |
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License Number State |
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