| Inner Balance Counseling Llc | |
|
4111 E Auto Valley Drive Suite 101 Mesa AZ 85206 | |
| (480) 675-6185 | |
| Not Available |
| Full Name | Inner Balance Counseling Llc |
|---|---|
| Speciality | Counselor |
| Location | 4111 E Auto Valley Drive, Mesa, Arizona |
| Authorized Official Name and Position | Katherine Kandaris (OWNER) |
| Authorized Official Contact | 6026756185 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Inner Balance Counseling Llc 4111 E Auto Valley Drive Suite 101 Mesa AZ 85206 Ph: (480) 675-6185 | Inner Balance Counseling Llc 4111 E Auto Valley Drive Suite 101 Mesa AZ 85206 Ph: (480) 675-6185 |
| NPI Number | 1720693062 |
|---|---|
| Provider Enumeration Date | 09/14/2020 |
| Last Update Date | 09/14/2020 |
| Certification Date | 09/10/2020 |
| Medicare PECOS PAC ID | 6406397900 |
|---|---|
| Medicare Enrollment ID | O20240924004249 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720693062 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Provider Name | Katherine Anne Kandaris Weiner |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1518363274 PECOS PAC ID: 8123569621 Enrollment ID: I20240924004291 |
| Provider Name | Jessica Renae Lowrance |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1962808105 PECOS PAC ID: 7517408909 Enrollment ID: I20240925003316 |
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