OrganizationActive
Inner Balance Therapy, LLC
NPI 1912744301 · Adult Mental Health Clinic/Center · Jackson, WY
Provider details
- NPI number
- 1912744301
- Entity type
- Organization
- Primary specialty
- Adult Mental Health Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Kristin Poole, Counselor(703) 608-1457
Specialties & taxonomies
Ambulatory Health Care Facilities
Ambulatory Health Care Facilities
Practice location
480 S Cache St Ofc 16
Jackson, WY 83001-8222
Phone: (703) 608-1457
Approximate (ZIP-level) locationGet directions
Mailing address
8025 Brown Trout Bnd
Victor, ID 83455-5072
Registry dates
- Enumerated
- 2024-07-11
- Last updated
- 2024-07-11
- Certified
- 2024-07-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.