Provider Demographics
NPI:1174983761
Name:BALANCED BEING INC
Entity type:Organization
Organization Name:BALANCED BEING INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:KIMBERLY
Authorized Official - Middle Name:J
Authorized Official - Last Name:NEDROW
Authorized Official - Suffix:
Authorized Official - Credentials:LMP, BCTMB, CST-D
Authorized Official - Phone:360-705-1133
Mailing Address - Street 1:221 KENYON ST NW STE 103
Mailing Address - Street 2:
Mailing Address - City:OLYMPIA
Mailing Address - State:WA
Mailing Address - Zip Code:98502-4581
Mailing Address - Country:US
Mailing Address - Phone:360-705-1133
Mailing Address - Fax:360-352-5855
Practice Address - Street 1:221 KENYON ST NW STE 103
Practice Address - Street 2:
Practice Address - City:OLYMPIA
Practice Address - State:WA
Practice Address - Zip Code:98502-4581
Practice Address - Country:US
Practice Address - Phone:360-705-1133
Practice Address - Fax:360-352-5855
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-02-25
Last Update Date:2024-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMA 00014338174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty