| Inner Balance, Pllc | |
|
200 Waterfront Rd Glade Hill VA 24092-1843 | |
| (229) 588-6015 | |
| Not Available |
| Full Name | Inner Balance, Pllc |
|---|---|
| Speciality | Social Worker |
| Location | 200 Waterfront Rd, Glade Hill, Virginia |
| Authorized Official Name and Position | Shanelle N Mcclaine (OWNER) |
| Authorized Official Contact | 2295886015 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Inner Balance, Pllc 200 Waterfront Rd Glade Hill VA 24092-1843 Ph: (229) 588-6015 | Inner Balance, Pllc 200 Waterfront Rd Glade Hill VA 24092-1843 Ph: (229) 588-6015 |
| NPI Number | 1144027772 |
|---|---|
| Provider Enumeration Date | 03/01/2025 |
| Last Update Date | 03/05/2025 |
| Certification Date | 03/05/2025 |
| Medicare PECOS PAC ID | 3173048170 |
|---|---|
| Medicare Enrollment ID | O20250423000526 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144027772 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Shanelle Nicole Mcclaine |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1063748564 PECOS PAC ID: 4082139084 Enrollment ID: I20250423000711 |
Family Preservation Services, Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 8081 Old Franklin Tpke, Glade Hill, VA 24092 Phone: 540-344-7048 Fax: 540-344-7162 |