OPTIMUM BALANCE


Address: 1537 N. Leroy Street, Suite D, Fenton, MI 48430
Phone: 8107718969

OPTIMUM BALANCE (NPI# 1245767888) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1245767888
Entity Type Organization
Organization Name OPTIMUM BALANCE
Practice Address 1537 N. Leroy Street
Suite D
Fenton
MI 48430
Mailing Address 1537 N Leroy St Ste D
Fenton
MI 48430-2795
Practice Telephone 8107718969
Mailing Telephone 8107718969
Mailing Fax Number 8445589767
Enumeration Date 2017-05-14
Last Update Date 2020-09-17
Authorized Official Name KARL STANLEY GILL (OWNER)
Authorized Official Telephone 8107718969
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QM0801X Clinic/Center
Specialization: Mental Health (Including Community Mental Health Center)
6401013238 MI Ambulatory Health Care Facilities

Office Location

Street Address 1537 N. LEROY STREET
SUITE D
City FENTON
State MI
Zip Code 48430

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
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1265801625 Shawn Marie Gorkiewicz Nurse Practitioner 435 North Leroy, Fenton, MI 48430 2015-09-16
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1104222520 Wellbridge of Fenton, LLC Skilled Nursing Facility 901 Pine Creek Drive, Fenton, MI 48430 2014-11-12
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Taxonomy Information

Taxonomy Code 261QM0801X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Mental Health (Including Community Mental Health Center)

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1568856227 Andrea Casey, Ph.d., L.p., Pllc Clinic/Center 119 S Leroy St, C/o Hope Counseling Center, Fenton, MI 48430-2637 2015-03-20

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1780297879 Grisham Services Inc. Clinic/Center 710 Chippewa Sq Ste 206, Marquette, MI 49855-4823 2020-08-28
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1639789688 Itherapygenx, Pllc Clinic/Center 31701 Grandview Ave, Westland, MI 48186-8958 2020-08-05
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Competitor

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City FENTON
Zip Code 48430

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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