Organization
BALANCED MIND RX LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEBRA PENEIRAS PMHNP-BC (OWNER)
(732) 687-5644
Entity
Organization
Contact information
Practice address
660 TENNENT RD STE 102, MANALAPAN, NJ 07726-3163
(732) 993-3398
(732) 719-2108
Mailing address
22 BUNKER HILL RD, FREEHOLD, NJ 07728-1381
(732) 687-5644
(732) 719-2108
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
07/01/2025
Last updated
07/01/2025
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