Healthcare Provider Details

I. General information

NPI: 1154244366
Provider Name (Legal Business Name): THE BALANCED WELLNESS, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/03/2026
Last Update Date: 08/03/2026
Certification Date: 08/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4971 CEDARBROOK LN
HERNANDO BEACH FL
34607-2912
US

IV. Provider business mailing address

4971 CEDARBROOK LN
HERNANDO BEACH FL
34607-2912
US

V. Phone/Fax

Practice location:
  • Phone: 352-810-4023
  • Fax: 727-208-9501
Mailing address:
  • Phone: 352-810-4023
  • Fax: 727-208-9501

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code261QP2300X
TaxonomyPrimary Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: ANN M BACHER
Title or Position: OWNER/MEMBER
Credential: FNP-C, PMHNP-BC
Phone: 865-230-1180