Organization
BALANCED LIFE PSYCHIATRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VENUS BONNETT PMHNP (OWNER)
(480) 546-8685
Entity
Organization
Contact information
Practice address
2320 E BASELINE RD STE 148-171, PHOENIX, AZ 85042-6957
(480) 546-8685
Mailing address
2320 E BASELINE RD STE 148-171, PHOENIX, AZ 85042-6957
(480) 546-8685
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
04/14/2021
Last updated
04/14/2021
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