# BALANCED MIND RX LLC

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

## Provider details

- **NPI number:** 1710876073
- **Authorized official:** DEBRA PENEIRAS PMHNP-BC (OWNER)
- **Authorized official phone:** (732) 687-5644

## Contact information

- **Practice address:** 660 TENNENT RD STE 102, MANALAPAN, NJ 07726-3163
- **Practice address phone:** (732) 993-3398
- **Practice address fax:** (732) 719-2108
- **Mailing address:** 22 BUNKER HILL RD, FREEHOLD, NJ 07728-1381
- **Mailing address phone:** (732) 687-5644
- **Mailing address fax:** (732) 719-2108

## 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:** 07/01/2025
- **Last updated:** 07/01/2025