BACK TO BALANCE, INC
NPI 1104130848
Dietitian, Registered in Jacksonville, FL

Active since August 05, 2010
6015 CHESTER CIR STE 106, SUITE 106, JACKSONVILLE, FL 32217(904) 448-8681 Get Directions Write a Review

NPPES record last updated: February 22, 2012. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Organization
  • Dietitian, Registered

About BACK TO BALANCE, INC

This page provides the complete NPI Profile along with additional information for Back To Balance, Inc, a provider established in Jacksonville, Florida operating as a Dietitian, Registered. The healthcare provider is registered in the NPI registry with number 1104130848 assigned on August 2010. The practitioner's primary taxonomy code is 133V00000X with license number ND5439 (FL). The provider is registered as an organization and their NPI record was last updated 14 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Mrs. Laura Elizabeth Rellihan Rd, Ld/n (President)

NPI
1104130848 Verify this NPI
Provider Name
BACK TO BALANCE, INC
Entity Type
Organization
Location Address
6015 CHESTER CIR STE 106 SUITE 106 JACKSONVILLE, FL 32217
Location Phone
(904) 448-8681
Mailing Address
6015 CHESTER CIR SUITE 106 JACKSONVILLE, FL 32217
Mailing Phone
(904) 448-8681
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
08-05-2010
Last Update Date
02-22-2012
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Dietitian, Registered

Taxonomy Code
133V00000X
Type
Dietary & Nutritional Service Providers
License No.
ND5439
License State
FL
Taxonomy Description
A Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of the Nutrition Care Process (NCP) that exemplify the profession's systematic approach to providing high quality nutrition care. Registered dietitians provide MNT for the purpose of disease prevention or management, or to treat or rehabilitate an illness, injury, or condition, with the use of specific, indicated physical and cognitive nutrition care services comprised of one or more of the following aspects of the NCP: nutrition assessment/reassessment, nutrition diagnosis, nutrition intervention (e.g., nutrition counseling, therapeutic diet ordering, and nutrition education) and nutrition monitoring and evaluation.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MRS. LAURA ELIZABETH RELLIHAN RD, LD/N

Authorized Official Title
PRESIDENT
Authorized Official Phone
(904) 448-8681

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Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1104130848, enumerated as an "organization" on August 05, 2010.

The provider is located at 6015 CHESTER CIR STE 106 SUITE 106 JACKSONVILLE, FL 32217 and the phone number is (904) 448-8681.

Dietitian, Registered with taxonomy code 133V00000X.