Organization
BALANCED VISION LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TUANQUILLA MONTESSA THOMPSON APSW (FOUNDER, DIRECTOR)
(262) 672-1501
Entity
Organization
Contact information
Practice address
500 WISCONSIN AVE, RACINE, WI 53403-1060
(262) 672-1501
Mailing address
500 WISCONSIN AVE, RACINE, WI 53403-1060
(262) 672-1501
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
03/14/2023
Last updated
03/14/2023
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