BALANCED BODY WELLNESS CENTRE LLC NPI 1073786984

NPI Information

  • NPI: 1073786984
  • Provider Name: BALANCED BODY WELLNESS CENTRE, LLC
  • Classification: Preferred Provider Organization - 305R00000X
  • Entity Type: Organization
  • Address: 5150 STILESBORO RD NW
    SUITE 420
    KENNESAW, GA
    ZIP 30152
  • Phone: (770) 425-6068

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NPI Details

BALANCED BODY WELLNESS CENTRE, LLC is a preferred provider organization in Kennesaw, GA. The provider is a group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient receives care at a lower benefit level. BALANCED BODY WELLNESS CENTRE, LLC NPI is 1073786984. The provider is registered as an organization entity type.

The provider's business location address is:

5150 STILESBORO RD NW
SUITE 420
KENNESAW, GA
ZIP 30152-744
Phone: (770) 425-6068
Fax: (770) 425-6085

The provider's authorized official is Tamera Firnbach .
The authorized official title is Owner and has the following contact phone number (770) 425-6068.

The enumeration date for this NPI number is 4/11/2008 and was last updated on 4/11/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1305R00000XPreferred Provider OrganizationCHIR0006878GEORGIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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