A Balanced Life Wellness Clinic And Apothecary, Llc

LBN: A Balanced Life Wellness Clinic And Apothecary, Llc
A Balanced Life Wellness Clinic And Apothecary, Llc is an health care organization with primary practice located at 1818 Library St Ste 500, Reston VA 20190-6242. The organization recently has only one registered license in Dietary & Nutritional Service Providers / Nutritionist, which is considered as the primary health care specialty. A Balanced Life Wellness Clinic And Apothecary, Llc can be contacted via phone (301) 602-1518, or through Costilo, Betsy via phone (301) 602-1518.

Contact Information

Primary practice address
1818 Library St Ste 500 Reston VA 20190-6242
Phone: (301) 602-1518
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Costilo, Betsy
Phone: (301) 602-1518

Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Nutritionist 133N00000X

Profile Details

NPI number 1629478037
LBN Legal business name A Balanced Life Wellness Clinic And Apothecary, Llc
DBA Doing business as
Authorized official Costilo, Betsy
Entity Organization
Organization subpart 1 No
Enumeration date Sep 4th, 2014
Last updated Sep 4th, 2014 - about 10 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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