Organization
BALANCED SPACE WELLNESS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELAINE JACKSON LCPC (OWNER)
(704) 710-6220
Entity
Organization
Contact information
Practice address
1125 BELMONT AVE, CHARLOTTE, NC 28205
(910) 710-6220
Mailing address
1235 EAST BLVD STE E, CHARLOTTE, NC 28203-5876
(704) 710-6220
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
05/08/2025
Last updated
03/12/2026
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