Individual provider · Type 1 NPI

Kathy Le Ballek, PMHNP-BC

Psychiatric/Mental Health Nurse Practitioner · Los Angeles, CA

NPI number 1295545150 Active

Practice location

4137 Verdugo Rd
Los Angeles, CA 90065-3820

Specialties and licenses

TaxonomyCodeLicense
Psychiatric/Mental Health Nurse Practitioner Primary 363LP0808X95033503 (CA)

Psychiatric/Mental Health Nurse Practitioner: Definition to come...

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About NPI 1295545150

Kathy Le Ballek, PMHNP-BC's National Provider Identifier is 1295545150, issued on Jan 11, 2025. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Los Angeles, CA. The record was last updated on Jul 16, 2026.