Balanced Life & Wellness PLLC
NPI 1619722931 · Psychiatric/Mental Health Nurse Practitioner · Gastonia, NC
Balanced Life & Wellness PLLC is a Psychiatric/Mental Health Nurse Practitioner organization in Gastonia, NC (NPI 1619722931).
Provider details
- NPI number
- 1619722931
- Entity type
- Organization
- Primary specialty
- Psychiatric/Mental Health Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Organization subpart
- No
- Authorized official
- Desareta Jones, Managing Member(704) 609-5288
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
- Community/Behavioral Health Agency251S00000X
Agencies
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Additional practice locations (1)
- 8461 Possum Hollow Rd Ste C114Indian Land, SC 29707-1023Phone: (704) 609-5288
Registry dates
- Enumerated
- 2024-04-19
- Last updated
- 2025-02-17
- Certified
- 2025-02-17
Frequently asked questions
- What is Balanced Life & Wellness PLLC's NPI number?
- Balanced Life & Wellness PLLC's National Provider Identifier (NPI) is 1619722931, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Balanced Life & Wellness PLLC?
- Balanced Life & Wellness PLLC is classified in the NPPES registry as Psychiatric/Mental Health Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Balanced Life & Wellness PLLC located?
- Balanced Life & Wellness PLLC's practice location on file with NPPES is 1550 Union Rd Ste a, Gastonia, NC 28054-5522.
- What is Balanced Life & Wellness PLLC's phone number?
- The practice phone number listed in the NPPES registry for Balanced Life & Wellness PLLC is (704) 609-5288.
- Who is the authorized official for Balanced Life & Wellness PLLC?
- The authorized official listed on Balanced Life & Wellness PLLC's NPPES record is Desareta Jones, Managing Member. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Balanced Life & Wellness PLLC's NPI active?
- Yes — Balanced Life & Wellness PLLC's NPI (1619722931) is active in the NPPES registry as of the last update on 2025-02-17.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.