Provider Demographics
NPI:1710331624
Name:BALANCE HEALTH & BEAUTY INSTITUTE
Entity Type:Organization
Organization Name:BALANCE HEALTH & BEAUTY INSTITUTE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:BRIANA
Authorized Official - Middle Name:M
Authorized Official - Last Name:HARRISON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:352-513-2050
Mailing Address - Street 1:2720 W WOODVIEW LN
Mailing Address - Street 2:
Mailing Address - City:LECANTO
Mailing Address - State:FL
Mailing Address - Zip Code:34461-8520
Mailing Address - Country:US
Mailing Address - Phone:352-513-2520
Mailing Address - Fax:
Practice Address - Street 1:2720 W WOODVIEW LN
Practice Address - Street 2:
Practice Address - City:LECANTO
Practice Address - State:FL
Practice Address - Zip Code:34461-8520
Practice Address - Country:US
Practice Address - Phone:352-513-2520
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-04-17
Last Update Date:2016-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty