Organization
IDEAL BALANCE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PENNY S BELL (ADMINISTRATOR)
(509) 212-5674
Entity
Organization
Contact information
Practice address
8514 W GAGE BLVD STE G, KENNEWICK, WA 99336-8108
(509) 524-9903
(888) 745-2096
Mailing address
8514 W GAGE BLVD STE G, KENNEWICK, WA 99336-8108
(509) 524-9903
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2035070
—
WA
01
—
61492395
DOH LICENSE
WA
01
—
61494502
DOH BRANCH LICENSE
WA
Enumeration date
09/17/2013
Last updated
05/19/2025
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