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Organization
EARTHLY BALANCE PERINATAL CARE LLC
Active
Organization
EARTHLY BALANCE PERINATAL CARE LLC
Active
Other names
Earthly Balance Mental Health Services
Organization subpart
No
Provider details
NPI number
Authorized official
MEMPHIS C SANDOVAL NP (OWNER)
(317) 647-6689
Entity
Organization
Contact information
Practice address
2023 BLUE PINE LN, INDIANAPOLIS, IN 46231-5203
(317) 647-6689
Mailing address
PO BOX 18324, INDIANAPOLIS, IN 46218-0324
(317) 647-6689
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
01/24/2025
Last updated
05/15/2025
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