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Organization
BALANCED MENTAL HEALTH AND WELLNESS LLC
Active
Organization
BALANCED MENTAL HEALTH AND WELLNESS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
OCTAVIA N MANUEL-WRIGHT (OWNER OF ENTITY)
(414) 376-8830
Entity
Organization
Contact information
Practice address
7929 N 76TH ST, MILWAUKEE, WI 53223-3947
(414) 376-8830
(414) 376-6808
Mailing address
7929 N 76TH ST, MILWAUKEE, WI 53223-3947
(414) 376-8830
(414) 376-6808
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
363LP2300X
Primary Care Nurse Practitioner
—
—
Other
Enumeration date
02/01/2021
Last updated
10/30/2025
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