| Balance For Growth | |
|
227400 Rib Mountain Dr Ste G Wausau WI 54401-5049 | |
| (715) 204-9433 | |
| Not Available |
| Full Name | Balance For Growth |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 227400 Rib Mountain Dr Ste G, Wausau, Wisconsin |
| Authorized Official Name and Position | Trena Loomans (CEO) |
| Authorized Official Contact | 7152049433 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Balance For Growth 227400 Rib Mountain Dr Ste G Wausau WI 54401-5049 Ph: (715) 204-9433 | Balance For Growth 227400 Rib Mountain Dr Ste G Wausau WI 54401-5049 Ph: (715) 204-9433 |
| NPI Number | 1790411700 |
|---|---|
| Provider Enumeration Date | 08/01/2022 |
| Last Update Date | 01/22/2024 |
| Certification Date | 01/22/2024 |
| Medicare PECOS PAC ID | 1355785155 |
|---|---|
| Medicare Enrollment ID | O20240220004224 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790411700 | NPI | - | NPPES |
| 1730314105 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| Provider Name | Trena Loomans |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1730314105 PECOS PAC ID: 2264876069 Enrollment ID: I20240220004273 |
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