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Organization
BALANCE FOR GROWTH
Active
Organization
BALANCE FOR GROWTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TRENA LOOMANS LPC, NCC, MSAT (CEO)
(715) 204-9433
Entity
Organization
Contact information
Practice address
227400 RIB MOUNTAIN DR STE G, WAUSAU, WI 54401-5049
(715) 204-9433
Mailing address
227400 RIB MOUNTAIN DR STE G, WAUSAU, WI 54401-5049
(715) 204-9433
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100213520
—
WI
05
—
1730314105
—
WI
Enumeration date
08/01/2022
Last updated
07/18/2024
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