OrganizationActive
Balance Therapy and Wellness LLC
NPI 1104630862 · Mental Health Clinic/Center (Including Community Mental Health Center) · Grenada, MS
Provider details
- NPI number
- 1104630862
- Entity type
- Organization
- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)Ambulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Keshia Dukes, Owner/Clinician(662) 307-9028
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
1300 Sunset Dr Ste Z
Grenada, MS 38901-4082
Phone: (662) 307-9028
Fax: (662) 499-3169
Approximate (ZIP-level) locationGet directions
Mailing address
1300 Sunset Dr Ste Z
Grenada, MS 38901-4082
Registry dates
- Enumerated
- 2025-02-04
- Last updated
- 2025-02-04
- Certified
- 2025-02-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.