Emotional Balance, LLC

Organization Active NPI Mental Health Counselor · Pacific Junction, IA

NPI 1245051671 · NPPES record last updated Oct 18, 2024

Key facts

NPI
1245051671
Entity type
Organization (NPI type 2)
Primary specialty
Mental Health Counselor 101YM0800X
Legal business name
EMOTIONAL BALANCE, LLC
Practice address
54919 Deacon Rd
Pacific Junction, IA 51561-4165
Phone
(402) 680-6429
NPI assigned
Oct 18, 2024
Organization subpart
No

Authorized official

Name
Crystal Dell Morton, LPC
Title
Owner
Phone
(402) 680-6429

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Enrolled in IA

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20250113003409 IA Part B Supplier - Clinic/Group Practice 2264960657 Receives reassigned benefits from 1 practitioner
Practice locations: Pacific Junction, IA

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor
Group: 193400000X SINGLE SPECIALTY GROUP
101YM0800X Yes

Addresses

Primary practice location

54919 Deacon Rd
Pacific Junction, IA 51561-4165

Mailing address

54919 Deacon Rd
Pacific Junction, IA 51561-4165
Phone (402) 680-6429

Other providers in Pacific Junction, IA

All providers in Pacific Junction, IA · Mental Health Counselor in Iowa

Sources for this page

Verify at the official NPI Registry.