Balmscope Wellness, PLLC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

BALMSCOPE WELLNESS, PLLC

Practice address

1030 N Rogers LN Ste 121 1028
Raleigh, NC 27610-6083

Phone

(919) 410-7445

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

Tamiqua Jackson Luckey, NP

Title

Owner

Phone

(919) 410-7445

Specialties & licenses 2

Addresses

Other names 1

• The Remedy Hydration & Wellness, PLLC Former legal business name

Locations

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

{
    "created_epoch": "1694390400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757635200000",
    "number": "1811774243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1030 N ROGERS LN STE 121",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276106083",
            "telephone_number": "919-410-7445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1030 N ROGERS LN STE 121 1028",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276106083",
            "telephone_number": "919-410-7445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BALMSCOPE WELLNESS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-11",
        "last_updated": "2025-09-12",
        "certification_date": "2025-09-12",
        "status": "A",
        "authorized_official_last_name": "JACKSON LUCKEY",
        "authorized_official_first_name": "TAMIQUA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "919-410-7445",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Remedy Hydration & Wellness, PLLC",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "The Remedy Hydration & Wellness, PLLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Jessica Jazz Balletta, LCSW
• Richard Ballou
• Amanda Marie Soltes Balmadrid, LCSW
• Charity Balmer
• Rachael Jin-Sun Balmer, BCBA
• Mohammad H Baloch, MD
• Hannah Williams Balogh
• Ola Adebayo Balogun
• Robert Lee Baltzer Jr., M.D.
• Bamyline Wellness Center PLLC

• Psychiatric/Mental Health Nurse Practitioner in Raleigh, NC
• Providers in Raleigh, 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 Sep 12, 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.