Organization
HEALTHY BALANCE PSYCHOLOGY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HEIDI HALLA-BAUER PSY.D. (ORGANIZER, OWNER)
(404) 277-9194
Entity
Organization
Contact information
Practice address
220 CENTRAL AVE N, FARIBAULT, MN 55021-5279
(507) 475-4721
(507) 323-8204
Mailing address
1550 SUNSET DR SW, OWATONNA, MN 55060-3854
(404) 277-9194
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
874147128A
—
GA
Enumeration date
06/26/2020
Last updated
02/06/2021
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