BALANCE PSYCHIATRIC MENTAL HEALTH & WELLNESS - NPI 1629855549

Q: What is Balance Psychiatric Mental Health & Wellness's specialty?

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

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About Balance Psychiatric Mental Health & Wellness NPPES

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

BALANCE PSYCHIATRIC MENTAL HEALTH & WELLNESS (NPI 1629855549), doing business as Balance Psychiatric & Wellness Clinic, is a healthcare organization registered as a psychiatric/mental health in Shelton, Washington and active in the NPI registry since September 2023. The organization maintains a secondary practice location in Shelton and lists Ashley N Mabry, Ceo, as its authorized official.

NPPES Registry Identity

NPI1629855549

Entity TypeOrganization

Primary Taxonomy363LP0808X

Legal Business NameBALANCE PSYCHIATRIC MENTAL HEALTH & WELLNESS

Location Address130 S 3RD STShelton, WA 98584-3533

Mailing Address2142 W Railroad AveShelton, WA 98584-7813 · (360) 358-1445 · Fax (651) 666-1427

Phone(360) 358-3039

Fax(651) 666-1427

Organization SubpartNo

Authorized OfficialAshley N MabryCeo · (360) 358-3039

Enumeration DateSeptember 13, 2023

Last NPPES UpdateApril 3, 20253 updates tracked since enumeration

NPPES CertifiedApril 3, 2025

✔ NPI 1629855549 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 ListedSocial Worker · ClinicalTaxonomy 1041C0700X

130 S 3RD ST, Shelton, WA 98584

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Other Names 2

Doing Business AsBalance Psychiatric & Wellness Clinic

Doing Business AsBalance Psychiatric Clinic

Secondary Practice Location 1

Location 12142 W Railroad AveShelton, WA 98584-7813 · Phone (360) 358-3039 · Fax (651) 666-1427

Group Practice 2

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 7

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

JAIME NOEL MCGINNIS-COOPER LICSW

Social Worker (Clinical)