| Mindful Balance Integrated Weight Loss And Wellness | |
|
6032 40th Ave Kenosha WI 53142-7018 | |
| (262) 900-8186 | |
| (262) 287-0884 |
| Full Name | Mindful Balance Integrated Weight Loss And Wellness |
|---|---|
| Speciality | Nurse Practitioner - Psychiatric/mental Health |
| Location | 6032 40th Ave, Kenosha, Wisconsin |
| Authorized Official Name and Position | Dana Booe-draper (OFFICE MANAGER) |
| Authorized Official Contact | 2622871999 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mindful Balance Integrated Weight Loss And Wellness 6032 40th Ave Kenosha WI 53142-7018 Ph: (262) 900-8186 | Mindful Balance Integrated Weight Loss And Wellness 6032 40th Ave Kenosha WI 53142-7018 Ph: (262) 900-8186 |
| NPI Number | 1891685376 |
|---|---|
| Provider Enumeration Date | 07/07/2025 |
| Last Update Date | 07/07/2025 |
| Certification Date | 07/07/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891685376 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Secondary |
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | (* (Not Available)) | Primary |
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