Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Balance and Renewal PLLC

Organization Clinical Social Worker · NPI 1790645638

Balance and Renewal PLLC is a Clinical Social Worker in Ammon, Idaho. Registered with an NPI since 2025.

In the registry since
2025
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

2705 E 17th St
Ammon, ID 83406-6669
Phone: (208) 534-6484
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X

Record details

NPI number1790645638
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Adam Nickell — Owner/ Provider · (208) 534-6484
NPI enumeratedNovember 13, 2025
Last updated in NPPESNovember 13, 2025
Certification dateNovember 13, 2025
Mailing address3270 E 17th St # 131, Ammon, ID 83406-6758

Other providers in Ammon