| A Balanced Mind, Llc | |
|
1300 Locust St Ste E Harrisonville MO 64701-1366 | |
| (816) 884-4004 | |
| (816) 884-3414 |
| Full Name | A Balanced Mind, Llc |
|---|---|
| Speciality | Social Worker |
| Location | 1300 Locust St Ste E, Harrisonville, Missouri |
| Authorized Official Name and Position | Aimee Johnson (LICENSED CLINCAL SOCIAL WORKER) |
| Authorized Official Contact | 8168844004 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| A Balanced Mind, Llc 1300 Locust St Ste E Harrisonville MO 64701-1366 Ph: (816) 884-4004 | A Balanced Mind, Llc 1300 Locust St Ste E Harrisonville MO 64701-1366 Ph: (816) 884-4004 |
| NPI Number | 1396113643 |
|---|---|
| Provider Enumeration Date | 09/03/2015 |
| Last Update Date | 01/12/2024 |
| Certification Date | 01/12/2024 |
| Medicare PECOS PAC ID | 3375844574 |
|---|---|
| Medicare Enrollment ID | O20151211002090 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396113643 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Aimee Leanos Johnson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1104294453 PECOS PAC ID: 4284935487 Enrollment ID: I20151211002158 |
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