Organization
BALANCED LIFE & WELLNESS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DESARETA JONES NP (MANAGING MEMBER)
(704) 609-5288
Entity
Organization
Contact information
Practice address
1550 UNION RD STE A, GASTONIA, NC 28054-5522
(704) 609-5288
Mailing address
PO BOX 38514, CHARLOTTE, NC 28278-1009
(704) 609-5288
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
04/19/2024
Last updated
02/17/2025
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