Balanced Soul Medicine, LLC

Primary specialty

Health Service Clinic/CenterTaxonomy code 261QH0100X

Legal business name

BALANCED SOUL MEDICINE, LLC

Practice address

37 Page Ave
Fort Kent, ME 04743-1217

Phone

(207) 231-4348

NPI assigned

Feb 15, 2024

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ms. Christy Louise Madore, FNP-CNPI 1346422193

Title

Owner / Nurse Practitioner

Phone

(207) 231-4348

Specialties & licenses 1

Addresses

Practitioners 1

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

• Christy L. Madore, NP-C

  • Family Nurse Practitioner
  • Scarborough, ME
  • NPI 1346422193
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1707955200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1707955200000",
    "number": "1326803743",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 218",
            "city": "FORT KENT MILLS",
            "state": "ME",
            "postal_code": "047440218",
            "telephone_number": "207-231-4348"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "37 PAGE AVE",
            "city": "FORT KENT",
            "state": "ME",
            "postal_code": "047431217",
            "telephone_number": "207-231-4348"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BALANCED SOUL MEDICINE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-15",
        "last_updated": "2024-02-15",
        "certification_date": "2024-02-15",
        "status": "A",
        "authorized_official_last_name": "MADORE",
        "authorized_official_first_name": "CHRISTY",
        "authorized_official_middle_name": "LOUISE",
        "authorized_official_title_or_position": "OWNER / NURSE PRACTITIONER",
        "authorized_official_telephone_number": "207-231-4348",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "FNP-C"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Aroostook County Action Program
• Aroostook Pharmacy Inc.
• Aroostook Pharmacy Inc.
• Jeannine Ayotte, SA COUNSELOR LADC
• Dale Bailey
• Miguel Barnaby
• Alicia Mary Bernier, RN BSN
• Kasie Blanchette, RN-BSN
• Derek Bonenfant
• George Eugene Borzemsky, D.M.D.

• Health Service Clinic/Center in Fort Kent, ME
• Providers in Fort Kent, ME by specialty
• Health Service Clinic/Center in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.