BALANCED RESTORATION SERVICES, LLC (NPI# 1801404272) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801404272 |
| Entity Type | Organization |
| Organization Name | BALANCED RESTORATION SERVICES, LLC |
| Practice Address |
14509 Boichot Rd Lansing MI 48906-1095 |
| Practice Telephone | 9892390870 |
| Mailing Telephone | 9892390870 |
| Enumeration Date | 2020-07-21 |
| Last Update Date | 2020-08-11 |
| Authorized Official Name | MALLORY GODIN (LPC) |
| Authorized Official Telephone | 9892390870 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
Ambulatory Health Care Facilities |
| Street Address |
14509 BOICHOT RD |
| City | LANSING |
| State | MI |
| Zip Code | 48906-1095 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487126595 | Mallory Godin | Counselor | 14509 Boichot Rd, Lansing, MI 48906 | 2018-12-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184133654 | Derrick Ray Lewis II | Technician | 3209 Trillium Drive, Lansing, MI 48906 | 2017-09-27 |
| 1497184329 | Michelle Ann Munson-mccorry | Registered Nurse | 1108 Ballard, Lansing, MI 48906 | 2013-11-01 |
| 1497190961 | Guided Choices | Registered Nurse | 2812 N Martin Luther King Jr Blvd, Lansing, MI 48906 | 2013-05-09 |
| 1154665677 | Agape Chiro Med of Michigan, LLC | Chiropractor | 1029 E Saginaw Street, Lansing, MI 48906 | 2012-11-21 |
| 1306143771 | Wayne County Physical Therapy, LLC | Clinic/Center | 1029 E Saginaw, Lansing, MI 48906 | 2011-02-22 |
| 1083877344 | Sabrina Diane Dinkha | Pediatrics | 13750 S Sedona Parkway, Suite 2, Lansing, MI 48906 | 2008-07-08 |
| 1922173103 | Linda Sue Hughes | Nurse Practitioner | 1717 N. High Street, Lansing, MI 48906 | 2006-11-22 |
| 1124102207 | Airway Oxygen Inc | Durable Medical Equipment & Medical Supplies | 1035 Mak-tech Drive, Lansing, MI 48906 | 2006-10-25 |
| 1689777252 | Plastic & Cosmetic Surgeons PC | Plastic Surgery | 1219 East Saginaw Street, Lansing, MI 48906 | 2006-09-07 |
| 1346278694 | David N Grimshaw | Neuromusculoskeletal Medicine & OMM | 1106 N Cedar St., Suite 200b, Lansing, MI 48906 | 2006-06-28 |
| Find all providers in zip 48906 | ||||
| Taxonomy Code | 261QM0801X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Mental Health (Including Community Mental Health Center) |
| Definition to come... |
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| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.