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BALANCE BEHAVIORAL HEALTH LLC NPI 1518628023


NPI Information

NPI: 1518628023
Provider Name: BALANCE BEHAVIORAL HEALTH, LLC
Classification: Nurse Practitioner - 363LP0808X
Entity Type: Organization

Specialization: Psychiatric/Mental Health

CLIA Number: 11D2196175

Address:
1010 HUNTCLIFF STE 1230
ATLANTA, GA
ZIP 30350
Phone: (404) 736-1410
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BALANCE BEHAVIORAL HEALTH, LLC is a psychiatric/mental health nurse practitioner in Atlanta, GA. BALANCE BEHAVIORAL HEALTH, LLC NPI is 1518628023. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1010 HUNTCLIFF STE 1230
ATLANTA, GA
ZIP 30350-898
Phone: (404) 736-1410
Fax: (901) 457-4568

The provider's authorized official is Alex W Peterson .
The authorized official title is Owner and has the following contact phone number (404) 736-1410.

The CLIA number assigned to this NPI record is 11D2196175 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/6/2022 and was last updated on 1/6/2022.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1106H00000XMarriage & Family TherapistNo
2363LP0808XNurse PractitionerPsychiatric/Mental HealthYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.