# WELL BALANCED NUTRITION, LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1578927299
- **Authorized official:** LUCY A HAYHURST RDN, LDN (CEO)
- **Authorized official phone:** (919) 491-2004

## Contact information

- **Practice address:** 2544 BURTON RD, DURHAM, NC 27704-3809
- **Practice address phone:** (919) 491-2004
- **Mailing address:** 2544 BURTON RD, DURHAM, NC 27704-3809
- **Mailing address phone:** (919) 491-2004

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 133N00000X | Nutritionist | L003447 | NC | — |
| 133N00000X | Nutritionist | L003670 | NC | — |
| 133V00000X | Registered Dietitian | L003447 | NC | Yes |
| 133V00000X | Registered Dietitian | L003670 | NC | — |

## Other

- **Enumeration date:** 04/08/2016
- **Last updated:** 04/08/2016

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 19DNY0 | BLUE CROSS BLUE SHIELD | NC |