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Contact Information

BALANCED WELLNESS LLC
4146 S HARVARD AVE STE F6
TULSA, OK74135-2642
 Phone: 918-716-9717
 Fax: 855-853-7274
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Primary Care

363LP2300X 50 Nurse Practitioner
 

Case Manager/Care Coordinator

171M00000X
 

Nurse Practitioner

363L00000X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for BALANCED WELLNESS LLC

NPI # 1790433456
LBN Legal business name BALANCED WELLNESS LLC
Authorized official JESSICA BREWER - (AUTHORIZED OFFICIAL)
Entity Organization
Organization subpart 1 No
Enumeration date 03/11/2022
Last updated 07/13/2025 - About 11 months ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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