BALANCED LIFE HEALTH CARE SOLUTIONS LLC


Address: 1846 Old Norcross Rd, Lawrenceville, GA 30044-8801
Phone: 6787297453

BALANCED LIFE HEALTH CARE SOLUTIONS LLC (NPI# 1730618265) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1730618265
Entity Type Organization
Organization Name BALANCED LIFE HEALTH CARE SOLUTIONS LLC
Practice Address 1846 Old Norcross Rd
Lawrenceville
GA 30044-8801
Practice Telephone 6787297453
Mailing Telephone (678) 729-7453
Enumeration Date 2017-06-08
Last Update Date 2018-03-17
Authorized Official Name DR. TONITA WASHINGTON (FNP/PROVIDER MANAGER)
Authorized Official Telephone 7703316475
Authorized Official Credential DNP, FNP-BC
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LF0000X Nurse Practitioner
Specialization: Family
GA Physician Assistants & Advanced Practice Nursing Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
1694 Cutters Mill Dr, Lithonia, GA 300586789 7703316475

Office Location

Street Address 1846 OLD NORCROSS RD
City LAWRENCEVILLE
State GA
Zip Code 30044-8801

Providers in the same location

NPI Name Taxonomy Address Enumeration
1639112584 Susan Kaye Blank Psychiatry & Neurology 1846 Old Norcross Rd, Suite 100, Lawrenceville, GA 30044-8801 2006-06-14
1164772984 Addiction Healing Center, LLC Clinic/Center 1846 Old Norcross Rd, Suite 100, Lawrenceville, GA 30044-8801 2012-09-19

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1326582859 Ana Coronado Social Worker 965 Oakland Road Nw, Suite 3b, Lawrenceville, GA 30044 2016-12-19
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Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

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NPI Name Taxonomy Address Enumeration
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1114533346 Esi F Yeboah Nurse Practitioner 2599 Irwell Way, Lawrenceville, GA 30044-2141 2020-09-22
1205442647 Chibuogwu Ifeoma Onyegbule Nurse Practitioner 2508 Planters Cove Dr, Lawrenceville, GA 30044-4491 2020-09-21
1760097323 Adelaide Asher Nurse Practitioner 250 Chandler Pond Dr, Lawrenceville, GA 30043-6079 2020-09-10
1669082335 Dahlia Josephine Dobson Nurse Practitioner 25 Featherbed Ct, Lawrenceville, NJ 08648-2004 2020-08-06
1912517129 Virginiah Kariuki Nurse Practitioner 990 Melrose Park Pl, Lawrenceville, GA 30044-7589 2020-08-03
1750990875 Brittney Comfort Afram Nurse Practitioner 436 Cabot Trce, Lawrenceville, GA 30045-7848 2020-07-24
1487273843 Maria A Chuma-okere Nurse Practitioner 1171 Thorncliff Way, Lawrenceville, GA 30044-8140 2020-04-15
1063031706 Josephine Fatmata Belmoh Nurse Practitioner 2035 Bentbrooke Trl, Lawrenceville, GA 30043-2672 2020-04-13
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Competitor

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City LAWRENCEVILLE
Zip Code 30044

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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