Provider Demographics
NPI:1396367439
Name:BALANCE HEALTH LLC
Entity type:Organization
Organization Name:BALANCE HEALTH LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:MANAGING MEMBER
Authorized Official - Prefix:DR
Authorized Official - First Name:THERESA
Authorized Official - Middle Name:
Authorized Official - Last Name:TOWLE
Authorized Official - Suffix:
Authorized Official - Credentials:DNP, APRN-NP
Authorized Official - Phone:480-442-2050
Mailing Address - Street 1:19934 WOLF RD UNIT 1036
Mailing Address - Street 2:
Mailing Address - City:MOKENA
Mailing Address - State:IL
Mailing Address - Zip Code:60448-2144
Mailing Address - Country:US
Mailing Address - Phone:480-442-2050
Mailing Address - Fax:708-866-7767
Practice Address - Street 1:18700 WOLF RD STE 211
Practice Address - Street 2:
Practice Address - City:MOKENA
Practice Address - State:IL
Practice Address - Zip Code:60448-8603
Practice Address - Country:US
Practice Address - Phone:480-442-2050
Practice Address - Fax:708-866-7767
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-05-12
Last Update Date:2024-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGroup - Multi-Specialty
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Multi-Specialty
No363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Multi-Specialty