1. Home
  2. Directory
  3. North Carolina
  4. Gastonia
  5. Nurse Practitioner
  6. NPI Profile

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: July 26, 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
Open in Google Maps ↗

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 with the weekly NPPES data releases published by CMS.