Provider Demographics
NPI:1568355485
Name:INNER BALANCE MENTAL HEALTH LLC
Entity type:Organization
Organization Name:INNER BALANCE MENTAL HEALTH LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ANKUR
Authorized Official - Middle Name:
Authorized Official - Last Name:PATEL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:248-632-8182
Mailing Address - Street 1:19041 E 12 MILE RD # 103
Mailing Address - Street 2:
Mailing Address - City:ROSEVILLE
Mailing Address - State:MI
Mailing Address - Zip Code:48066-2609
Mailing Address - Country:US
Mailing Address - Phone:586-580-9486
Mailing Address - Fax:586-200-0149
Practice Address - Street 1:19041 E 12 MILE RD # 103
Practice Address - Street 2:
Practice Address - City:ROSEVILLE
Practice Address - State:MI
Practice Address - Zip Code:48066-2609
Practice Address - Country:US
Practice Address - Phone:586-580-9486
Practice Address - Fax:586-200-0149
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-05-30
Last Update Date:2025-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Multi-Specialty