Organization
MINDFUL BALANCE PSYCHOLOGICAL WELLNESS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RYAN BIDAN (OWNER)
(214) 535-9418
Entity
Organization
Contact information
Practice address
130 E LIBERTY ST, PLYMOUTH, MI 48170-1413
(734) 656-8611
Mailing address
208 HIGH CANYON CT, RICHARDSON, TX 75080-2670
(214) 535-9418
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
07/13/2017
Last updated
07/13/2017
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