# BALANCE PSYCHIATRY & WELLNESS PLLC

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

## Provider details

- **NPI number:** 1508487646
- **Authorized official:** MICHELLE HOLLOWAY MD (PSYCHIATRIST/OWNER)
- **Authorized official phone:** (405) 563-3820

## Contact information

- **Practice address:** 1218 E 9TH ST STE 4, EDMOND, OK 73034-5796
- **Practice address phone:** (405) 563-3820
- **Mailing address:** 1218 E 9TH ST STE 4, EDMOND, OK 73034-5796
- **Mailing address phone:** (405) 563-3820

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 163WP0808X | Psychiatric/Mental Health Registered Nurse | — | NULL | Yes |
| 163WP0808X | Psychiatric/Mental Health Registered Nurse | — | — | Yes |
| 2084P0804X | Child & Adolescent Psychiatry Physician | — | NULL | — |
| 2084P0804X | Child & Adolescent Psychiatry Physician | — | — | — |
| 363LF0000X | Family Nurse Practitioner | — | NULL | — |
| 363LF0000X | Family Nurse Practitioner | — | — | — |

## Other

- **Enumeration date:** 04/29/2020
- **Last updated:** 04/29/2020