NPI Code Detail JSON Logo

1558847335 NPI number — INNER BALANCE WELLNESS CORP

NPI Number: 1558847335
Health Care Provider/Practitioner: INNER BALANCE WELLNESS CORP

Information about “1558847335” NPI (INNER BALANCE WELLNESS CORP) exists in 1558847335 in HTML format HTML  |  1558847335 in plain Text format TXT  |  1558847335 in PDF (Portable Document Format) PDF  |  1558847335 in an XML format XML  formats.

NPI Number : 1558847335 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1558847335",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "INNER BALANCE WELLNESS CORP",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": "6",
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "233 N WALNUT ST",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "ELMHURST",
    "MailingAddressStateName": "IL",
    "MailingAddressPostalCode": "60126-2655",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "630-441-2241",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "303 E ARMY TRAIL RD STE 207",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "BLOOMINGDALE",
    "PracticeLocationAddressStateName": "IL",
    "PracticeLocationAddressPostalCode": "60108-2143",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "332-481-6563",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "07/16/2018",
    "LastUpdateDate": "05/21/2024",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "KAPADIA",
    "AuthorizedOfficialFirstName": "AMANDA",
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": "OWNER",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": "LCSW",
    "AuthorizedOfficialTelephoneNumber": "331-481-6562",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "1041S0200X",
        "TaxonomyName": "School Social Worker",
        "LicenseNumber": null,
        "LicenseNumberStateCode": null,
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": {
      "HealthcareProviderTaxonomyGroup": {
        "HealthcareProviderTaxonomyGroupName": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
        "HealthcareProviderTaxonomyGroupDescription": "Single Specialty Group - A business group of one or more individual practitioners, all of who practice with the same area of specialization."
      }
    }
  }
}
                
            

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