Back to Balance Health Coaching LLC

Primary specialty

Health & Wellness CoachTaxonomy code 171400000X

Legal business name

BACK TO BALANCE HEALTH COACHING LLC

Practice address

28 Grace CT
Amityville, NY 11701-3640

Phone

(631) 974-1480

NPI assigned

Mar 30, 2023

Organization subpart

No

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

Authorized official

Name

Ms. Carolyn Ryan, NBC-HWCNPI 1548948011

Title

Owner

Phone

(631) 974-1480

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.

• Carolyn Ryan

  • Health & Wellness Coach
  • Amityville, NY
  • NPI 1548948011
  NPD Authorized official

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

{
    "created_epoch": "1680134400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1681257600000",
    "number": "1285338335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28 GRACE CT",
            "city": "AMITYVILLE",
            "state": "NY",
            "postal_code": "117013640",
            "telephone_number": "631-974-1480"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28 GRACE CT",
            "city": "AMITYVILLE",
            "state": "NY",
            "postal_code": "117013640",
            "telephone_number": "631-974-1480"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BACK TO BALANCE HEALTH COACHING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-30",
        "last_updated": "2023-04-12",
        "certification_date": "2023-04-12",
        "status": "A",
        "authorized_official_last_name": "RYAN",
        "authorized_official_first_name": "CAROLYN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "631-974-1480",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "NBC-HWC"
    },
    "taxonomies": [
        {
            "code": "171400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Health & Wellness Coach",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Health & Wellness Coach in Amityville, NY
• Providers in Amityville, NY by specialty
• Health & Wellness Coach in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2023; 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.