Provider Demographics
NPI:1336929058
Name:BALANCE WITHIN WELLNESS PLLC
Entity Type:Organization
Organization Name:BALANCE WITHIN WELLNESS PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BUSINESS MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:MARSHA
Authorized Official - Middle Name:
Authorized Official - Last Name:ATKINS
Authorized Official - Suffix:
Authorized Official - Credentials:APRN-FPA, ANP-C
Authorized Official - Phone:309-386-0383
Mailing Address - Street 1:1100 BEECH ST BLDG 10-6
Mailing Address - Street 2:
Mailing Address - City:NORMAL
Mailing Address - State:IL
Mailing Address - Zip Code:61761-1493
Mailing Address - Country:US
Mailing Address - Phone:309-386-0383
Mailing Address - Fax:
Practice Address - Street 1:1100 BEECH ST BLDG 10-6
Practice Address - Street 2:
Practice Address - City:NORMAL
Practice Address - State:IL
Practice Address - Zip Code:61761-1568
Practice Address - Country:US
Practice Address - Phone:309-386-0383
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-10-02
Last Update Date:2023-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health