| Balanced Earth Wellness Llc | |
|
6995 S Tourist Ln Apt 12 West Jordan UT 84081-3737 | |
| (801) 577-0461 | |
| Not Available |
| Full Name | Balanced Earth Wellness Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 6995 S Tourist Ln Apt 12, West Jordan, Utah |
| Authorized Official Name and Position | Julio Jarvis (OWNER) |
| Authorized Official Contact | 8015770461 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Balanced Earth Wellness Llc Po Box 162 West Jordan UT 84084-0162 Ph: () - | Balanced Earth Wellness Llc 6995 S Tourist Ln Apt 12 West Jordan UT 84081-3737 Ph: (801) 577-0461 |
| NPI Number | 1457087157 |
|---|---|
| Provider Enumeration Date | 07/26/2022 |
| Last Update Date | 01/12/2023 |
| Certification Date | 01/12/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457087157 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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