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Organization

EARTHLY BALANCE PERINATAL CARE LLC

Active
Other names
Earthly Balance Mental Health Services
Organization subpart
No

Provider details

NPI number
Authorized official
MEMPHIS C SANDOVAL NP (OWNER)
(317) 647-6689
Entity
Organization

Contact information

Practice address
2023 BLUE PINE LN, INDIANAPOLIS, IN 46231-5203
(317) 647-6689
Mailing address
PO BOX 18324, INDIANAPOLIS, IN 46218-0324
(317) 647-6689

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary

Other

Enumeration date
01/24/2025
Last updated
05/15/2025
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