Organization
EQUILIBRIUM BRAIN BODY BALANCE
Active
Other names
Equilibrium
Organization subpart
No
Provider details
NPI number
Authorized official
THERESE M HOUNDT-DALBERG CNP, PMHNP (CEO/PMHNP)
(612) 289-2365
Entity
Organization
Contact information
Practice address
12800 WHITEWATER DR, SUITE 100- 2016, MINNETONKA, MN 55343
(612) 289-3465
Mailing address
7730 LAREDO DR UNIT 163, CHANHASSEN, MN 55317-1208
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1861858466
—
MN
Enumeration date
02/02/2023
Last updated
02/02/2023
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