BALANCED CHANGE NUTRITION AND WELLNESS
NPI 1265233795
Clinic/Center - Health Service in Raleigh, NC

Active since March 21, 2025
12528 BIRCHFALLS DR, RALEIGH, NC 27614(984) 600-0997 Get Directions Write a Review

NPPES record last updated: March 21, 2025. Verified against the NPPES registry weekly; last sync: September 06, 2026.

About Balanced Change Nutrition And Wellness NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BALANCED CHANGE NUTRITION AND WELLNESS (NPI 1265233795), doing business as Balanced Change, is a healthcare organization registered as a health service in Raleigh, North Carolina and active in the NPI registry since March 2025. The organization maintains a secondary practice location in Aberdeen and lists Damian Ganoe, Registered Dietitian, as its authorized official.

NPPES Registry Identity

NPI1265233795
Entity TypeOrganization
Primary Taxonomy261QH0100X
Legal Business NameBALANCED CHANGE NUTRITION AND WELLNESS
Location Address12528 BIRCHFALLS DRRaleigh, NC 27614-9676
Mailing Address12528 Birchfalls DrRaleigh, NC 27614-9676 · (984) 600-0997
Organization SubpartNo
Authorized OfficialDamian GanoeRegistered Dietitian · (984) 600-0997
Enumeration DateMarch 21, 2025
NPPES CertifiedMarch 21, 2025
NPI 1265233795 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

Primary SpecialtyClinic/Center · Health ServiceAmbulatory Health Care Facilities
Taxonomy Code261QH0100X
Also ListedPublic Health or WelfareTaxonomy 251K00000X
Also ListedCommunity/Behavioral HealthTaxonomy 251S00000X
Also ListedClinic/Center · Community HealthTaxonomy 261QC1500X
12528 BIRCHFALLS DR, Raleigh, NC 27614

Other Names 1

Doing Business AsBalanced Change

Secondary Practice Location 1

Location 113321 US 15 501 HwyAberdeen, NC 28315-5034 · Phone (984) 600-0997

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Balanced Change Nutrition And Wellness's NPI number?

The NPI number for Balanced Change Nutrition And Wellness is 1265233795. It was assigned to this organization in the NPPES registry on March 21, 2025. The provider is doing business as Balanced Change.

Where is Balanced Change Nutrition And Wellness located?

Balanced Change Nutrition And Wellness is located at 12528 Birchfalls Dr, Raleigh, NC 27614. The listed phone number is (984) 600-0997.

What is Balanced Change Nutrition And Wellness's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Health Service, with taxonomy code 261QH0100X.

When was this NPI record last updated?

The NPPES record for Balanced Change Nutrition And Wellness was last updated on March 21, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.