# NEUROBALANCE PSYCHIATRY & BEHAVIORAL HEALTH LLC

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

## Provider details

- **NPI number:** 1043145345
- **Authorized official:** SANTAY SHAW-RUSSELL PMHNP-BC (PRESIDENT)
- **Authorized official phone:** (954) 470-5460

## Contact information

- **Practice address:** 4237 SALT SPRINGS LN, LAKELAND, FL 33811-1893
- **Practice address phone:** (954) 470-5460
- **Mailing address:** 4237 SALT SPRINGS LN, LAKELAND, FL 33811-1893
- **Mailing address phone:** (954) 470-5460

## 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:** 06/17/2026
- **Last updated:** 06/17/2026