OPTIMUM BALANCE (NPI# 1245767888) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
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 |
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 |
Street Address |
1537 N. LEROY STREET SUITE D |
City | FENTON |
State | MI |
Zip Code | 48430 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1225647514 | Drs Mesh, P.C. | Dentist | 15555 Silver Parkway, Fenton, MI 48430 | 2020-07-23 |
1225515091 | Erica Anderson | Social Worker | 127 River St., Fenton, MI 48430 | 2018-07-25 |
1710411293 | Abdul Hassan | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 11 Chateaux Du Lac, Fenton, MI 48430 | 2017-04-12 |
1366994410 | Intentional Wellbeing LLC | Psychologist | 1122 N. Leroy Rd, Suite A, Fenton, MI 48430 | 2016-10-25 |
1265801625 | Shawn Marie Gorkiewicz | Nurse Practitioner | 435 North Leroy, Fenton, MI 48430 | 2015-09-16 |
1972994226 | Carrie Hamilton | Physical Medicine & Rehabilitation | 102 N Adelaide St Ste B, Fenton, MI 48430 | 2015-02-09 |
1104222520 | Wellbridge of Fenton, LLC | Skilled Nursing Facility | 901 Pine Creek Drive, Fenton, MI 48430 | 2014-11-12 |
1225442759 | Joseph Matthew Leppek | Optometrist | 1425 N. Leroy St., Fenton, MI 48430 | 2014-06-12 |
1437569647 | Therapy Support Center LLC | Clinic/Center | 113 North River Street, Fenton, MI 48430 | 2014-04-28 |
1477978732 | Grant Flood | Social Worker | 1100 Torrey Rd., St. 100, Fenton, MI 48430 | 2014-02-24 |
Find all providers in zip 48430 |
Taxonomy Code | 261QM0801X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Mental Health (Including Community Mental Health Center) |
Definition to come... |
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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1871100602 | Sbh Ventures LLC | Clinic/Center | 700 Golfcrest Dr, Dearborn, MI 48124-1121 | 2020-09-25 |
1558978593 | Katie M Wyss Lmsw, LLC | Clinic/Center | 218 N 4th Ave Ste 207, Ann Arbor, MI 48104-1472 | 2020-09-24 |
1700492154 | Bound Together Counseling, Pllc | Clinic/Center | 3020 Franklin Park Dr, Sterling Heights, MI 48310-2477 | 2020-09-21 |
1982219556 | Best Life Counseling Services, LLC | Clinic/Center | O-745 Lake Michigan Dr Nw, Grand Rapids, MI 49534-6795 | 2020-09-10 |
1780297879 | Grisham Services Inc. | Clinic/Center | 710 Chippewa Sq Ste 206, Marquette, MI 49855-4823 | 2020-08-28 |
1518579655 | Self Preservation Through Recovery Independence Transformation Guidanc | Clinic/Center | 21225 Kelly Rd Ste 5, Eastpointe, MI 48021-3100 | 2020-08-19 |
1639789688 | Itherapygenx, Pllc | Clinic/Center | 31701 Grandview Ave, Westland, MI 48186-8958 | 2020-08-05 |
1619595832 | Peace of Mind, LLC | Clinic/Center | 41750 Foster Dr Unit 204, Novi, MI 48375-1976 | 2020-07-14 |
Find all providers with the same taxonomy |
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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.