MEDICARE: BALANCING ROCK WELLNESS LLC

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	106H00000X	Marriage & Family Therapist

General Provider Information

NPI Number	:	1366300964
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BALANCING ROCK WELLNESS LLC

Provider Business Mailing Address
First Line	:	5725 S VALLEY VIEW BLVD STE 7A
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89118-3122
Country	:	US
Telephone Number	:	702-608-7146
Fax Number	:

Provider Business Practice Location Address
First Line	:	5725 S VALLEY VIEW BLVD STE 7A
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89118-3122
Country	:	US
Telephone Number	:	702-608-7146
Fax Number	:

Authorized Official
Title or Position	:	LMFT
Name	:	RAQUEL ROCKI CAMPBELL
Credential	:	LMFT
Telephone Number	:	702-608-7146

Provider Enumeration Date	:	01/13/2026
Last Update Date	:	01/13/2026

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