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THE LIFE BALANCE CLINIC, BEHAVIORAL HEALTH SERVICE
NPI 1649566894
Social Worker - Clinical in Vicksburg, MS

Active since June 27, 2011
1107 B OPENWOOD ST., VICKSBURG, MS 39183(601) 831-4402(601) 262-7226 Get Directions Write a Review

NPPES record last updated: June 27, 2011. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About The Life Balance Clinic, Behavioral Health Service NPPES

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

THE LIFE BALANCE CLINIC, BEHAVIORAL HEALTH SERVICE (NPI 1649566894) is a healthcare organization registered as a clinical in Vicksburg, Mississippi and active in the NPI registry since June 2011. The organization lists Annette Bryant, Owner, as its authorized official.

NPPES Registry Identity

NPI1649566894
Entity TypeOrganization
Primary Taxonomy1041C0700X
Legal Business NameTHE LIFE BALANCE CLINIC, BEHAVIORAL HEALTH SERVICE
Location Address1107 B OPENWOOD ST.Vicksburg, MS 39183
Mailing Address113 Woodstone DrVicksburg, MS 39183-8319 · (601) 831-4402 · Fax (601) 262-7226
Phone(601) 831-4402
Fax(601) 262-7226
Organization SubpartNo
Authorized OfficialAnnette BryantOwner · (601) 831-4402
Enumeration DateJune 27, 2011
✔ NPI 1649566894 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in MS · C6582
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
1107 B OPENWOOD ST., Vicksburg, MS 39183
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Other Identifiers 2

Medicare UPIN302I801727MS
Medicaid08000025MS

Group Practice 1

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

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 The Life Balance Clinic, Behavioral Health Service's NPI number?

The NPI number for The Life Balance Clinic, Behavioral Health Service is 1649566894. It was assigned to this organization in the NPPES registry on June 27, 2011.

Where is The Life Balance Clinic, Behavioral Health Service located?

The Life Balance Clinic, Behavioral Health Service is located at 1107 B Openwood St., Vicksburg, MS 39183. The listed phone number is (601) 831-4402.

What is The Life Balance Clinic, Behavioral Health Service's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

When was this NPI record last updated?

The NPPES record for The Life Balance Clinic, Behavioral Health Service was last updated on June 27, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years 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.