Balance and Renewal Pllc

NPI #1790645638 in Ammon, Idaho

Provider Information

NPI Number: 1790645638
Entity Type: Organization
Organization Name: Balance and Renewal Pllc
Primary Specialty: Social Worker - Clinical
Enumeration Date: Nov 13, 2025
Last Updated: Nov 13, 2025

Practice Location

Address: 2705 E 17TH ST
City: Ammon
State: Idaho
ZIP Code: 83406-6669
Phone: (208) 534-6484

Authorized Official

Name: ADAM NICKELL, LCSW
Title: OWNER/ PROVIDER
Phone: (208) 534-6484

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker - Clinical — Clinical	1041C0700X	Primary

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