Balanced Minds Wellness Group LLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

BALANCED MINDS WELLNESS GROUP LLC

Practice address

1140 S Linden Rd
Flint, MI 48532-3437

Phone

(810) 240-9472

NPI assigned

Jun 18, 2018

Last updated

Jun 18, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Ashley Thomas, LLPCNPI 1831761394

Title

Owner

Phone

(248) 894-0824

Specialties & licenses 1

Addresses

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Ashley Thomas, LLPC

  • Professional Counselor
  • Holly, MI
  • NPI 1831761394
  Authorized official Same address or phone
• Phaedra Noelle Bartlett

  • Professional Counselor
  • Davison, MI
  • NPI 1043244585
  NPD (past)

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

{
    "created_epoch": "1529280000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529280000000",
    "number": "1568956167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9427 NASHUA TRL",
            "city": "FLUSHING",
            "state": "MI",
            "postal_code": "484338837"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1140 S LINDEN RD",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485323437",
            "telephone_number": "810-240-9472"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BALANCED MINDS WELLNESS GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-18",
        "last_updated": "2018-06-18",
        "status": "A",
        "authorized_official_last_name": "THOMAS",
        "authorized_official_first_name": "ASHLEY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "248-894-0824",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LLPC"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Teresa Baker
• Ahmed Bakhit
• Muhammad Bakleh, M.D.
• Keerat Bal
• Balance Rehab LLC
• Kelley Baldwin Aguilar-Aleman, BS, CMHP, QIDP, QMHP
• Amber Suzanne Baldwin
• Clarence Baldwin
• Joan E Baldwin, R.P.T.
• Mary Angela Baldwin, LLMSW

• Mental Health Clinic/Center (Including Community Mental Health Center) in Flint, MI
• Providers in Flint, MI by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2018; 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.