Organization
BALANCE AND RENEWAL PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ADAM NICKELL LCSW (OWNER/ PROVIDER)
(208) 534-6484
Entity
Organization
Contact information
Practice address
2705 E 17TH ST, AMMON, ID 83406-6669
(208) 534-6484
Mailing address
3270 E 17TH ST # 131, AMMON, ID 83406-6758
(208) 534-6484
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
11/13/2025
Last updated
11/13/2025
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