Provider Demographics
NPI:1871322578
Name:BALANCED BITES, LLC
Entity type:Organization
Organization Name:BALANCED BITES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:REGISTERED DIETITIAN
Authorized Official - Prefix:
Authorized Official - First Name:MICHELLE
Authorized Official - Middle Name:R
Authorized Official - Last Name:ADAMS
Authorized Official - Suffix:
Authorized Official - Credentials:MS, RD, CSR, LD
Authorized Official - Phone:816-679-2491
Mailing Address - Street 1:5320 SHAWNEE VIEW CT
Mailing Address - Street 2:
Mailing Address - City:EUREKA
Mailing Address - State:MO
Mailing Address - Zip Code:63025-4018
Mailing Address - Country:US
Mailing Address - Phone:816-679-2491
Mailing Address - Fax:
Practice Address - Street 1:5320 SHAWNEE VIEW CT
Practice Address - Street 2:
Practice Address - City:EUREKA
Practice Address - State:MO
Practice Address - Zip Code:63025-4018
Practice Address - Country:US
Practice Address - Phone:816-679-2491
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-07-30
Last Update Date:2024-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, RegisteredGroup - Single Specialty