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

The Life Balance Clinic, Behavioral Health Service

Organization Clinical Social Worker · NPI 1649566894

The Life Balance Clinic, Behavioral Health Service provides Clinical Social Worker services 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 Not confirmed with CMS for 15 years — call before visiting
Phone: (601) 831-4402
Fax: (601) 262-7226
Show map & directions

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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