Balanced Life & Wellness PLLC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

BALANCED LIFE & WELLNESS PLLC

Practice address

1550 Union Rd Ste a
Gastonia, NC 28054-5522

Phone

(704) 609-5288

NPI assigned

Apr 19, 2024

Last updated

Feb 17, 2025By 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

Desareta Jones, NPNPI 1730891581

Title

Managing Member

Phone

(704) 609-5288

Specialties & licenses 2

Addresses

Locations

Practitioners 1

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.

• Desareta Jones, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Gastonia, NC
  • NPI 1730891581
  Authorized official Same address or phone

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

{
    "created_epoch": "1713484800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1739750400000",
    "number": "1619722931",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 38514",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282781009",
            "telephone_number": "704-609-5288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1550 UNION RD STE A",
            "city": "GASTONIA",
            "state": "NC",
            "postal_code": "280545522",
            "telephone_number": "704-609-5288"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8461 Possum Hollow Rd Ste C114",
            "address_purpose": "LOCATION",
            "city": "Indian Land",
            "state": "SC",
            "postal_code": "297071023",
            "country_code": "US",
            "telephone_number": "704-609-5288",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "BALANCED LIFE & WELLNESS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-19",
        "last_updated": "2025-02-17",
        "certification_date": "2025-02-17",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "DESARETA",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "704-609-5288",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melanie McPherson Baker, LPC
• Regina Baker
• Stefanie Baker
• Vanessa Baker
• Balance Within: Therapy and Wellness PLLC
• Balanze Group LLC
• Jessica Rene Baldwin, NP
• Jeremiah Ballard
• Maria Castorio Ballard, LCSW
• Tina Nixon Ballard, ACNP-BC

• Psychiatric/Mental Health Nurse Practitioner in Gastonia, NC
• Providers in Gastonia, NC by specialty
• Psychiatric/Mental Health Nurse Practitioner in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2025; 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.