Active NPI
Stay Balanced Global LLC
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Wilmington, DE
National Provider Identifier
1902632201
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Legal business name
- STAY BALANCED GLOBAL LLC
- Practice address
- 1521 Concord Pike
Suite 301
Wilmington, DE 19803 - Phone
- (954) 937-1511
- NPI assigned
- Sep 12, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Janelle Reid
- Title
- Business Owner
- Phone
- (954) 937-1511
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | Primary | ||
| Adult Mental Health Clinic/Center | 261QM0850X | |||
| Adolescent and Children Mental Health Clinic/Center | 261QM0855X |
Addresses
Primary practice location
1521 Concord Pike
Suite 301
Wilmington, DE 19803
Mailing address
24A Trolley SQ # 1320
Wilmington, DE 19806-3334
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1726099200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1726099200000",
"number": "1902632201",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "24A TROLLEY SQ # 1320",
"city": "WILMINGTON",
"state": "DE",
"postal_code": "198063334"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1521 CONCORD PIKE",
"address_2": "SUITE 301",
"city": "WILMINGTON",
"state": "DE",
"postal_code": "19803",
"telephone_number": "954-937-1511"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "STAY BALANCED GLOBAL LLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-09-12",
"last_updated": "2024-09-12",
"certification_date": "2024-08-22",
"status": "A",
"authorized_official_last_name": "REID",
"authorized_official_first_name": "JANELLE",
"authorized_official_title_or_position": "BUSINESS OWNER",
"authorized_official_telephone_number": "954-937-1511",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "261QM0801X",
"taxonomy_group": "",
"desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
"state": null,
"license": null,
"primary": true
},
{
"code": "261QM0850X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adult Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QM0855X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adolescent and Children Mental Health",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Wilmington, DE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.