Healthcare Provider Details

I. General information

NPI: 1912837592
Provider Name (Legal Business Name): BEAUTIFULLY ALIGNED WELLNESS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/23/2026
Last Update Date: 05/23/2026
Certification Date: 05/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3299 KEMP RD
BEAVERCREEK OH
45431-2550
US

IV. Provider business mailing address

40 COPLEY CIR
SPRINGBORO OH
45066-9410
US

V. Phone/Fax

Practice location:
  • Phone: 770-866-4935
  • Fax:
Mailing address:
  • Phone: 770-866-4935
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: MRS. LAUREN ASHLEY BRASWELL
Title or Position: OWNER
Credential: APRN
Phone: 770-866-4935