Provider Demographics
NPI:1316147705
Name:BALANCED HEALTH AND WELLNESS, LLC
Entity type:Organization
Organization Name:BALANCED HEALTH AND WELLNESS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:GENERAL MEMBER
Authorized Official - Prefix:DR
Authorized Official - First Name:SARAH
Authorized Official - Middle Name:NICOLE
Authorized Official - Last Name:KIRSCH
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:248-921-1124
Mailing Address - Street 1:2770 COOLIDGE HWY
Mailing Address - Street 2:
Mailing Address - City:BERKLEY
Mailing Address - State:MI
Mailing Address - Zip Code:48072-1557
Mailing Address - Country:US
Mailing Address - Phone:248-397-8122
Mailing Address - Fax:248-928-1184
Practice Address - Street 1:2770 COOLIDGE HWY
Practice Address - Street 2:
Practice Address - City:BERKLEY
Practice Address - State:MI
Practice Address - Zip Code:48072-1557
Practice Address - Country:US
Practice Address - Phone:248-397-8122
Practice Address - Fax:248-928-1184
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-07-23
Last Update Date:2023-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty