Organization
BALANCED BODY HEALTHCARE
Active
Parent organization
BRANAE HOLDINGS, LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
BRANAE HOLDINGS, LLC
Authorized official
LISA CROCKETT (CEO)
(256) 464-7260
Entity
Organization
Contact information
Practice address
8121 MADISON BLVD STE 102, MADISON, AL 35758-2018
(256) 464-7260
(256) 772-7066
Mailing address
104 OVERLEAF PT SW, HUNTSVILLE, AL 35824-3102
(256) 464-7260
(256) 772-7066
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2286
AL
261QC1500X
Community Health Clinic/Center
—
—
261QH0100X
Health Service Clinic/Center
2286
AL
261QP2300X
Primary Care Clinic/Center
—
AL
261QR0200X
Radiology Clinic/Center
2286
AL
261QV0200X
VA Clinic/Center
—
—
Other
Enumeration date
12/15/2009
Last updated
12/15/2009
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