Rebalance Therapy Mind. Body. Soul.

Primary specialty

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

Legal business name

REBALANCE THERAPY MIND. BODY. SOUL.

Practice address

550 W Juneau Ave Apt 220
Milwaukee, WI 53203-1002

Phone

(414) 446-1196

NPI assigned

Sep 11, 2023

Organization subpart

No

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

Authorized official

Name

Nina Monet Dismukes, LCP, LCPCNPI 1821676818

Title

Owner/Ceo

Phone

(414) 446-1196

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.

• Nina Monet Dismukes

  • Mental Health Counselor
  • Chicago, IL
  • NPI 1821676818
  NPD Authorized official

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

{
    "created_epoch": "1694390400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1694390400000",
    "number": "1770360968",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "550 W JUNEAU AVE APT 220",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532031002",
            "telephone_number": "414-446-1196"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 W JUNEAU AVE APT 220",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532031002",
            "telephone_number": "414-446-1196"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REBALANCE THERAPY MIND. BODY. SOUL.",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-11",
        "last_updated": "2023-09-11",
        "certification_date": "2023-09-11",
        "status": "A",
        "authorized_official_last_name": "DISMUKES",
        "authorized_official_first_name": "NINA",
        "authorized_official_middle_name": "MONET",
        "authorized_official_title_or_position": "OWNER/CEO",
        "authorized_official_telephone_number": "414-446-1196",
        "authorized_official_credential": "LCP, LCPC"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Real Solutions LLC
• Reality Family Care LLC
• Dana L Reamy
• Therese Colleen Reardon, DDS
• Venodia Reaves, OTR.
• Laura Rebek, MS, CGC
• Juliane Rebholz, OTR, CLT
• Frederik Korbinian Rebling, M.D.
• Amy Theresa Rebro, COTA
• Joseph A Rebro, APNP

• Mental Health Clinic/Center (Including Community Mental Health Center) in Milwaukee, WI
• Providers in Milwaukee, WI by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 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.