MEDICARE: BALANCED MIND MENTAL HEALTH

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LP0808X	Psychiatric/Mental Health Nurse Practitioner

General Provider Information

NPI Number	:	1356135966
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BALANCED MIND MENTAL HEALTH

Provider Business Mailing Address
First Line	:	PO BOX 20324
Second Line	:
City	:	HOT SPRINGS
State	:	AR
Zip	:	71903-0324
Country	:	US
Telephone Number	:	501-223-9948
Fax Number	:

Provider Business Practice Location Address
First Line	:	1 MERCY LN STE 406
Second Line	:
City	:	HOT SPRINGS
State	:	AR
Zip	:	71913-6441
Country	:	US
Telephone Number	:	501-223-9948
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	MIKELL LYNN FOUST
Credential	:
Telephone Number	:	501-501-7272

Provider Enumeration Date	:	04/08/2025
Last Update Date	:	04/13/2026

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Directions to “BALANCED MIND MENTAL HEALTH ” Practice Location

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