Organization
BALANCED LIVING NUTRITION LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRIANNA MAHONEY (OWNER)
(727) 238-5185
Entity
Organization
Contact information
Practice address
7204 AMHURST WAY, CLEARWATER, FL 33764-7001
(352) 584-6394
Mailing address
7204 AMHURST WAY, CLEARWATER, FL 33764-7001
(352) 584-6394
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
11/06/2025
Last updated
11/06/2025
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