Balanced Care Sustains Networks PLLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

BALANCED CARE SUSTAINS NETWORKS PLLC

Doing business as

Balanced Care Sustains

Practice address

3675 Fallstaff Dr
Fayetteville, NC 28306-9079

Phone

(910) 699-2633

NPI assigned

Sep 27, 2023

Last updated

Sep 27, 2023By 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

Ms. Quadiedra Amos, LCMHCNPI 1023628278

Title

Ceo

Phone

(910) 699-2633

Specialties & licenses 1

Addresses

Other names 1

• Balanced Care Sustains Doing business as

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.

• Quadiedra Amos, NCC, LCMHC

  • Mental Health Counselor
  • Fayetteville, NC
  • NPI 1023628278
  NPD Authorized official

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

{
    "created_epoch": "1695772800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1695772800000",
    "number": "1740069905",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1298 5075 MORGATON RD STE 10C",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "28314",
            "telephone_number": "910-699-2633"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3675 FALLSTAFF DR",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283069079",
            "telephone_number": "910-699-2633"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BALANCED CARE SUSTAINS NETWORKS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-27",
        "last_updated": "2023-09-27",
        "certification_date": "2023-09-25",
        "status": "A",
        "authorized_official_last_name": "AMOS",
        "authorized_official_first_name": "QUADIEDRA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "910-699-2633",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCMHC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Balanced Care Sustains",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Zhana Balaam, LCSWA
• Vignesh Sadras Balagopal, MD
• Balance Care Solutions PLLC (Katasha Jarrin)
• Balance Counseling and Wellness Center, PLLC
• Balance to Health & Wellness LLC
• Balanced Emotions and Resilience PLLC
• Charles L Balch, OD
• Christopher Allen Balduf, LMT
• Alexus Baldwin
• Breonna Lynn Baldwin

• Mental Health Counselor in Fayetteville, NC
• Providers in Fayetteville, NC by specialty
• Mental Health Counselor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2023; 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.