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

Life Balance Clinic LLC

Organization Clinical Social Worker · NPI 1811244858

Life Balance Clinic LLC provides Clinical Social Worker services in Vicksburg, Mississippi. Licensed in Mississippi. Registered with an NPI since 2012.

Licensed in
MS
In the registry since
2012
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1107 Openwood St
Vicksburg, MS 39183
Phone: (601) 831-4402
Fax: (601) 206-0672
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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 number1811244858
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Annette Bryant — Owner/Provider · (601) 831-4402
NPI enumeratedAugust 9, 2012
Last updated in NPPESAugust 7, 2018
Mailing address113 Woodstone Dr, Vicksburg, MS 39183-8319

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