SHEILA A. BALOG PH.D. PC NPI 1033250873

NPI Information

NPI: 1033250873
Provider Name: SHEILA A. BALOG, PH.D., PC
Classification: Clinic/Center - 261QM0801X
Entity Type: Organization

Specialization: Mental Health (Including Community Mental Health Center)

Address:
55 JONESBORO ST
MCDONOUGH, GA
ZIP 30253
Phone: (678) 583-4975
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SHEILA A. BALOG, PH.D., PC is a mental health (including community mental health center) clinic center in Mcdonough, GA. SHEILA A. BALOG, PH.D., PC NPI is 1033250873. The provider is registered as an organization entity type.

The provider's business location address is:

55 JONESBORO ST
MCDONOUGH, GA
ZIP 30253-164
Phone: (678) 583-4975

The provider's authorized official is Sheila A Balog .
The authorized official title is President and has the following contact phone number (678) 583-4975.

The enumeration date for this NPI number is 2/12/2007 and was last updated on 8/22/2020.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QM0801X	Clinic/Center	Mental Health (Including Community Mental Health Center)	PSY2369	GEORGIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	00857073C	MEDICAID	GEORGIA

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

NPI Synchronization or Removal

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