Provider Demographics
NPI:1962077271
Name:SPIRITUAL BALANCE AND TRANQUILITY CENTER, LLC
Entity type:Organization
Organization Name:SPIRITUAL BALANCE AND TRANQUILITY CENTER, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/REIKI PRACTITIONER
Authorized Official - Prefix:
Authorized Official - First Name:MARISA
Authorized Official - Middle Name:
Authorized Official - Last Name:PADILLA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:609-338-2244
Mailing Address - Street 1:80 DOVER RD
Mailing Address - Street 2:
Mailing Address - City:WESTAMPTON
Mailing Address - State:NJ
Mailing Address - Zip Code:08060-2354
Mailing Address - Country:US
Mailing Address - Phone:609-338-2244
Mailing Address - Fax:609-939-0700
Practice Address - Street 1:80 DOVER RD
Practice Address - Street 2:
Practice Address - City:WESTAMPTON
Practice Address - State:NJ
Practice Address - Zip Code:08060-2354
Practice Address - Country:US
Practice Address - Phone:609-338-2244
Practice Address - Fax:609-939-0700
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-05-20
Last Update Date:2021-05-24
Deactivation Date:
Deactivation Code:
Reactivation Date: