Balanced Earth Wellness LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

BALANCED EARTH WELLNESS LLC

Practice address

6995 S Tourist LN Apt 12
West Jordan, UT 84081-3737

Phone

(801) 577-0461

NPI assigned

Jul 26, 2022

Organization subpart

No

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

Authorized official

Name

Julio Jarvis, LCSWNPI 1821394842

Title

Owner

Phone

(801) 577-0461

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.

• Julio C Jarvis, C.S.W.

  • Clinical Social Worker
  • West Jordan, UT
  • NPI 1821394842
  NPD Authorized official

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

{
    "created_epoch": "1658793600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1673481600000",
    "number": "1457087157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 162",
            "city": "WEST JORDAN",
            "state": "UT",
            "postal_code": "840840162"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6995 S TOURIST LN APT 12",
            "city": "WEST JORDAN",
            "state": "UT",
            "postal_code": "840813737",
            "telephone_number": "801-577-0461"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BALANCED EARTH WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-26",
        "last_updated": "2023-01-12",
        "certification_date": "2023-01-12",
        "status": "A",
        "authorized_official_last_name": "JARVIS",
        "authorized_official_first_name": "JULIO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "801-577-0461",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Baylee Baker
• Brian Baker, PHD
• Donald Wayne Baker, O.D.
• Greg Baker
• Shannon Cooke Baker, M.D.
• Ximena Estela Baliero-Fuster
• Diana Elaine Ballard
• Justine Marie Ballard, BCABA
• Nicole Ballou
• Dawn Baltazar

• Clinical Social Worker in West Jordan, UT
• Providers in West Jordan, UT by specialty
• Clinical Social Worker in Utah

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