Balanced Beauty Medspa, LLC

Primary specialty

Integrative Medicine PhysicianTaxonomy code 202D00000X

Legal business name

BALANCED BEAUTY MEDSPA, LLC

Doing business as

Balanced Beauty Lifestyle Wellness

Practice address

3 Stower LN Ste 2
Norwalk, OH 44857-2612

Phone

(419) 951-2020

Fax

(419) 951-2020

NPI assigned

Oct 26, 2022

Last updated

Oct 26, 2022By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Johanna Wilson, MDNPI 1619289881

Title

Owner

Phone

(419) 951-2020

Specialties & licenses 1

Addresses

Other names 1

• Balanced Beauty Lifestyle Wellness Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Johanna S. Wilson, MD

  • Psychiatry Physician
  • Ontario, OH
  • NPI 1619289881
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1666742400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1666742400000",
    "number": "1053038430",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 STOWER LN STE 2",
            "city": "NORWALK",
            "state": "OH",
            "postal_code": "448572612",
            "telephone_number": "419-951-2020",
            "fax_number": "419-951-2020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 STOWER LN STE 2",
            "city": "NORWALK",
            "state": "OH",
            "postal_code": "448572612",
            "telephone_number": "419-951-2020",
            "fax_number": "419-951-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BALANCED BEAUTY MEDSPA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-26",
        "last_updated": "2022-10-26",
        "certification_date": "2022-10-26",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "JOHANNA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "419-951-2020",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "202D00000X",
            "taxonomy_group": "",
            "desc": "Integrative Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Balanced Beauty Lifestyle Wellness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Thomas Andosca, D.C
• Christopher Andrews
• Christina Marie Babbs
• Lauren Bailey, NP-C
• Sahar Q Bakhsh
• Rudd Judson Bare, MD
• Daniel B Barney, M.D.
• Clyde Glenn Barrett Jr., D.O.
• Rachel Renee Basting, PT, DPT
• Emily Baumgartner, M.A.,CCC-SLP

• Integrative Medicine Physician in Norwalk, OH
• Providers in Norwalk, OH by specialty
• Integrative Medicine Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.