Organization
BALSAM BOSOM WELLNESS AND RESTORATIVE CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JULIA M. KLINE-FUENTES CFM (FOUNDER)
(334) 478-3168
Entity
Organization
Contact information
Practice address
10930 US HIGHWAY 231, WETUMPKA, AL 36092-5115
(334) 478-3168
Mailing address
10930 US HIGHWAY 231, WETUMPKA, AL 36092-5115
(334) 478-3168
Taxonomy
Speciality
Code
Description
License number
State
171400000X
Health & Wellness Coach
—
—
171M00000X
Case Manager/Care Coordinator
—
—
172V00000X
Community Health Worker
—
—
174H00000X
Health Educator
—
—
174N00000X
Lactation Consultant (Non-RN)
—
—
176B00000X
Midwife
—
—
224900000X
Mastectomy Fitter
Primary
—
—
246RP1900X
Phlebotomy Technician
—
—
374J00000X
Doula
—
—
Other
Enumeration date
04/24/2025
Last updated
01/21/2026
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