Balance Of Mind Therapeutic Support - Medicare Mental Health Clinic in Austin, MN

Balance Of Mind Therapeutic Support is a medicare enrolled mental health clinic (Community/behavioral Health) in Austin, Minnesota. The current practice location for Balance Of Mind Therapeutic Support is 308 4th Ave Nw, Austin, Minnesota. For appointments, you can reach them via phone at (507) 438-4026. The mailing address for Balance Of Mind Therapeutic Support is 308 4th Ave Nw, Austin, Minnesota and phone number is (507) 438-4026.

Balance Of Mind Therapeutic Support is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1841862364. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (507) 438-4026.

Contact Information

Balance Of Mind Therapeutic Support
308 4th Ave Nw
Austin
MN 55912-3140
(507) 438-4026
Not Available

Mental Health Clinic Profile

Full NameBalance Of Mind Therapeutic Support
SpecialityCommunity/Behavioral Health
Location308 4th Ave Nw, Austin, Minnesota
Authorized Official Name and PositionDaryl James Smith (OWNER)
Authorized Official Contact5074384026
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Balance Of Mind Therapeutic Support
308 4th Ave Nw
Austin
MN 55912-3140

Ph: (507) 438-4026
Balance Of Mind Therapeutic Support
308 4th Ave Nw
Austin
MN 55912-3140

Ph: (507) 438-4026

NPI Details:

NPI Number1841862364
Provider Enumeration Date07/14/2021
Last Update Date02/06/2023
Certification Date02/06/2023

Medicare PECOS Information:

Medicare PECOS PAC ID6608264460
Medicare Enrollment IDO20211027001757

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Medical Identifiers

Medical identifiers for Balance Of Mind Therapeutic Support such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1841862364NPI-NPPES
1871018192MedicaidMN

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
251S00000XCommunity/behavioral Health (* (Not Available))Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Balance Of Mind Therapeutic Support acts as a billing entity for following providers:
Provider NameDaryl Smith
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1871018192
PECOS PAC ID: 5092088872
Enrollment ID: I20170829004206

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