Organization
BALANCE OF MIND THERAPEUTIC SUPPORT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DARYL JAMES SMITH LICSW (OWNER)
(507) 438-4026
Entity
Organization
Contact information
Practice address
308 4TH AVE NW, AUSTIN, MN 55912-3140
(507) 438-4026
Mailing address
308 4TH AVE NW, AUSTIN, MN 55912-3140
(507) 438-4026
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1871018192
—
MN
Enumeration date
07/14/2021
Last updated
02/06/2023
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