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

Mindful Balance Integrated Weight Loss and Wellness

Organization Clinical Social Worker · NPI 1891685376

Mindful Balance Integrated Weight Loss and Wellness is a Clinical Social Worker in Kenosha, Wisconsin. Registered with an NPI since 2025.

In the registry since
2025
Specialties on file
2

Practice location Address checks out

6032 40th Ave
Kenosha, WI 53142-7018
Phone: (262) 900-8186
Fax: (262) 287-0884
Show map & directions

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

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X
Clinical Social Worker Taxonomy 1041C0700X

Record details

NPI number1891685376
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Dana Booe-Draper — Office Manager · (262) 287-1999
NPI enumeratedJuly 7, 2025
Last updated in NPPESJuly 7, 2025
Certification dateJuly 7, 2025
Mailing address6032 40th Ave, Kenosha, WI 53142-7018

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