# BALANCED LIFE & WELLNESS PLLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1619722931
- **Authorized official:** DESARETA JONES NP (MANAGING MEMBER)
- **Authorized official phone:** (704) 609-5288

## Contact information

- **Practice address:** 1550 UNION RD STE A, GASTONIA, NC 28054-5522
- **Practice address phone:** (704) 609-5288
- **Mailing address:** PO BOX 38514, CHARLOTTE, NC 28278-1009
- **Mailing address phone:** (704) 609-5288

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251S00000X | Community/Behavioral Health Agency | — | — | — |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 04/19/2024
- **Last updated:** 02/17/2025