Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Mindful Balance Integrated Weight Loss and Wellness

Organization Clinical Social Worker · NPI 1891685376

Mindful Balance Integrated Weight Loss and Wellness provides Clinical Social Worker services 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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