| Balance Psychiatric Mental Health & Wellness | |
|
130 S 3rd St Shelton WA 98584-3533 | |
| (360) 358-3039 | |
| (651) 666-1427 |
| Full Name | Balance Psychiatric Mental Health & Wellness |
|---|---|
| Speciality | Nurse Practitioner |
| Location | 130 S 3rd St, Shelton, Washington |
| Authorized Official Name and Position | Ashley N Mabry (CEO) |
| Authorized Official Contact | 3603583039 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Balance Psychiatric Mental Health & Wellness 2142 W Railroad Ave Shelton WA 98584-7813 Ph: (360) 358-1445 | Balance Psychiatric Mental Health & Wellness 130 S 3rd St Shelton WA 98584-3533 Ph: (360) 358-3039 |
| NPI Number | 1629855549 |
|---|---|
| Provider Enumeration Date | 09/13/2023 |
| Last Update Date | 04/03/2025 |
| Certification Date | 04/03/2025 |
| Medicare PECOS PAC ID | 1456701218 |
|---|---|
| Medicare Enrollment ID | O20231220002501 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629855549 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Secondary |
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | (* (Not Available)) | Primary |
| Provider Name | Ashley N Mabry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750756292 PECOS PAC ID: 9931557972 Enrollment ID: I20231130003034 |
| Provider Name | Sharanna Sharmel Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538672126 PECOS PAC ID: 0345666459 Enrollment ID: I20241203002907 |
| Provider Name | Pauline S Mead |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366578338 PECOS PAC ID: 3577084193 Enrollment ID: I20250311002478 |
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