Balanced Beauty Wellness Center

Primary specialty

Health Service Clinic/CenterTaxonomy code 261QH0100X

Legal business name

BALANCED BEAUTY WELLNESS CENTER

Practice address

424 Williams St
Mossyrock, WA 98564-9001

Phone

(360) 513-7027

NPI assigned

Mar 20, 2024

Organization subpart

No

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

Authorized official

Name

Stephen Goulding JavierNPI 1629885421

Title

Family Nurse Practitioner

Phone

(360) 513-7027

Specialties & licenses 1

Addresses

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.

• Stephen Goulding Javier

  • Family Nurse Practitioner
  • Vancouver, WA
  • NPI 1629885421
  NPD Authorized official

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

{
    "created_epoch": "1710892800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710892800000",
    "number": "1104686781",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14913 NE 82ND ST",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986823413",
            "telephone_number": "360-513-7027"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "424 WILLIAMS ST",
            "city": "MOSSYROCK",
            "state": "WA",
            "postal_code": "985649001",
            "telephone_number": "360-513-7027"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BALANCED BEAUTY WELLNESS CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-20",
        "last_updated": "2024-03-20",
        "certification_date": "2024-03-20",
        "status": "A",
        "authorized_official_last_name": "GOULDING JAVIER",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_title_or_position": "FAMILY NURSE PRACTITIONER",
        "authorized_official_telephone_number": "360-513-7027"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Victoria Acosta, DO
• Alchemy Enterprises Inc
• Don H Allison, MD
• David Richard Baldwin, CP00006153
• Jill Michelle Bellino, LPN
• Amanda Louise Black, SUDPT
• Carol A Boyer, LMP
• Christine M Campbell, RN, FNP-C

• Health Service Clinic/Center in Mossyrock, WA
• Providers in Mossyrock, WA by specialty
• Health Service Clinic/Center in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2024; 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.