Provider Demographics
NPI:1073307724
Name:BALANCEABILITY WELLNESS, LLC
Entity type:Organization
Organization Name:BALANCEABILITY WELLNESS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FOUNDER & CEO
Authorized Official - Prefix:
Authorized Official - First Name:HARLIN
Authorized Official - Middle Name:
Authorized Official - Last Name:BEWLI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:949-351-4343
Mailing Address - Street 1:8457 PHLOX DR
Mailing Address - Street 2:
Mailing Address - City:BUENA PARK
Mailing Address - State:CA
Mailing Address - Zip Code:90620-2126
Mailing Address - Country:US
Mailing Address - Phone:949-351-4343
Mailing Address - Fax:
Practice Address - Street 1:8457 PHLOX DR
Practice Address - Street 2:
Practice Address - City:BUENA PARK
Practice Address - State:CA
Practice Address - Zip Code:90620-2126
Practice Address - Country:US
Practice Address - Phone:949-351-4343
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-04-08
Last Update Date:2025-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251S00000XAgenciesCommunity/Behavioral Health
No106E00000XBehavioral Health & Social Service ProvidersAssistant Behavior AnalystGroup - Single Specialty