Life Balance Clinic LLC
NPI 1811244858ActiveOrganization· Social Worker, Clinical· Vicksburg, MS
Social Worker, Clinical in Vicksburg, Mississippi, registered in NPPES in August 2012. The authorized official on file is Annette Bryant, PHD-ABD, LCSW, Owner/Provider. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1811244858 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Aug 9, 2012 |
| Last updated in NPPES | Aug 7, 2018 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Social Worker, Clinical Primary | 1041C0700X | C6582 | MS |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (MS) |
|---|
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