MEDICARE: BALANCE AND BLOOM WOMEN'S WELLNESS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2084P0800X	Psychiatry Physician

General Provider Information

NPI Number	:	1528917317
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BALANCE AND BLOOM WOMEN'S WELLNESS

Provider Business Mailing Address
First Line	:	230 KITDARE DR
Second Line	:
City	:	DELAWARE
State	:	OH
Zip	:	43015-7077
Country	:	US
Telephone Number	:	614-907-8256
Fax Number	:

Provider Business Practice Location Address
First Line	:	550 S CLEVELAND AVE STE D
Second Line	:
City	:	WESTERVILLE
State	:	OH
Zip	:	43081-8958
Country	:	US
Telephone Number	:	614-907-8256
Fax Number	:

Authorized Official
Title or Position	:	CO-OWNER
Name	:	JULIA SANCHEZ
Credential	:	PMHNP
Telephone Number	:	216-789-0680

Provider Enumeration Date	:	01/24/2026
Last Update Date	:	01/24/2026

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