Healthcare Provider Details

I. General information

NPI: 1487172888
Provider Name (Legal Business Name): BALANCE HEALTH LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/06/2017
Last Update Date: 02/24/2023
Certification Date: 02/24/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 COLUMBUS CTR STE 600
VIRGINIA BEACH VA
23462-6760
US

IV. Provider business mailing address

1 COLUMBUS CTR STE 600
VIRGINIA BEACH VA
23462-6760
US

V. Phone/Fax

Practice location:
  • Phone: 757-255-8796
  • Fax:
Mailing address:
  • Phone: 757-255-8796
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code133V00000X
TaxonomyRegistered Dietitian
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code133VN1006X
TaxonomyMetabolic Nutrition Registered Dietitian
License Number
License Number State

VIII. Authorized Official

Name: JESSICA REED
Title or Position: DIETITIAN/OWNER
Credential: RD
Phone: 757-255-8796