# BALANCED MENTAL HEALTH INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1013624402
- **Authorized official:** JASMIN PERRY APRN, PMHNP-BC, FNP (OWNER/PROVIDER)
- **Authorized official phone:** (727) 382-3538

## Contact information

- **Practice address:** 15280 DURANGO CIR, BROOKSVILLE, FL 34604-5003
- **Practice address phone:** (727) 382-3538
- **Practice address fax:** (727) 416-7061
- **Mailing address:** 15280 DURANGO CIR, BROOKSVILLE, FL 34604-5003
- **Mailing address phone:** (727) 382-3538
- **Mailing address fax:** (727) 416-7061

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | NULL | Yes |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 11/03/2022
- **Last updated:** 11/07/2022

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 2018080999 | ANCC PMHNP-BC CERTIFICATION | — |
| 01 | — | 9311097 | ADVANCED PRACTICE REGISTERED NURSE | FL |