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BALANCED LIFE & WELLNESS PLLC
NPI 1619722931
Nurse Practitioner - Psychiatric/Mental Health in Gastonia, NC

Active since April 19, 2024
1550 UNION RD STE A, GASTONIA, NC 28054(704) 609-5288 Get Directions Write a Review

NPPES record last updated: February 17, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Feb 17, 2025, Apr 19, 2024 (2 updates tracked since 2024).

About Balanced Life & Wellness Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BALANCED LIFE & WELLNESS PLLC (NPI 1619722931) is a healthcare organization registered as a psychiatric/mental health in Gastonia, North Carolina and active in the NPI registry since April 2024. The organization maintains a secondary practice location in Indian Land and lists Desareta Jones, Managing Member, as its authorized official.

NPPES Registry Identity

NPI1619722931
Entity TypeOrganization
Primary Taxonomy363LP0808X
Legal Business NameBALANCED LIFE & WELLNESS PLLC
Location Address1550 UNION RD STE AGastonia, NC 28054-5522
Mailing AddressPo Box 38514Charlotte, NC 28278-1009 · (704) 609-5288
Phone(704) 609-5288
Organization SubpartNo
Authorized OfficialDesareta JonesManaging Member · (704) 609-5288
Enumeration DateApril 19, 2024
Last NPPES UpdateFebruary 17, 20252 updates tracked since enumeration
NPPES CertifiedFebruary 17, 2025
✔ NPI 1619722931 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
Also ListedCommunity/Behavioral HealthTaxonomy 251S00000X
1550 UNION RD STE A, Gastonia, NC 28054
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Secondary Practice Location 1

Location 18461 Possum Hollow Rd Ste C114Indian Land, SC 29707-1023 · Phone (704) 609-5288

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

INNOVATIVE COMPLIANCE SOLUTIONS
Community/Behavioral Health
1550 UNION RD STE A
GASTONIA, NC 28054
Gaston County (704) 609-5288
INTEGRITY LABS
Clinical Medical Laboratory
1550 UNION RD STE A
GASTONIA, NC 28054
Gaston County (704) 609-5288
DESARETA JONES PMHNP
Nurse Practitioner (Psychiatric/Mental Health)
1550 UNION RD STE A
GASTONIA, NC 28054
Gaston County (704) 609-5288

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Balanced Life & Wellness PLLC's NPI number?

The NPI number for Balanced Life & Wellness PLLC is 1619722931. It was assigned to this organization in the NPPES registry on April 19, 2024.

Where is Balanced Life & Wellness PLLC located?

Balanced Life & Wellness PLLC is located at 1550 Union Rd Ste A, Gastonia, NC 28054. The listed phone number is (704) 609-5288.

What is Balanced Life & Wellness PLLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

When was this NPI record last updated?

The NPPES record for Balanced Life & Wellness PLLC was last updated on February 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.