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

The Life Balance Clinic, Behavioral Health Service

Organization Clinical Social Worker · NPI 1649566894

The Life Balance Clinic, Behavioral Health Service is a Clinical Social Worker in Vicksburg, Mississippi. Licensed in Mississippi. Registered with an NPI since 2011.

Licensed in
MS
In the registry since
2011

Practice location Address checks out

1107 B Openwood St
Vicksburg, MS 39183
Phone: (601) 831-4402
Fax: (601) 262-7226
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence C6582 (MS)

Record details

NPI number1649566894
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Annette Bryant — Owner · (601) 831-4402
NPI enumeratedJune 27, 2011
Last updated in NPPESJune 27, 2011
Mailing address113 Woodstone Dr, Vicksburg, MS 39183-8319

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