Equilibrium Brain Body Balance

LBN: Equilibrium Brain Body Balance
Equilibrium Brain Body Balance is an health care organization with primary practice located at 12800 Whitewater Dr Suite 100- 2016, Minnetonka MN 55343. The organization recently has only one registered license in Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center), which is considered as the primary health care specialty. Equilibrium Brain Body Balance can be contacted via phone (612) 289-3465, or through Houndt-Dalberg, Therese M via phone (612) 289-2365.

Contact Information

Primary practice address
12800 Whitewater Dr Suite 100- 2016 Minnetonka MN 55343
Phone: (612) 289-3465
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Houndt-Dalberg, Therese M CNP, PMHNP
Phone: (612) 289-2365

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) 261QM0801X

Profile Details

NPI number 1861198723
LBN Legal business name Equilibrium Brain Body Balance
DBA Doing business as
Authorized official Houndt-Dalberg, Therese M CNP, PMHNP
Entity Organization
Organization subpart 1 No
Enumeration date Feb 2nd, 2023
Last updated Feb 2nd, 2023 - about 3 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1861198723 NPPES
Minnesota MEDICAID 1861858466

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