BALANCED EMBODIMENT THERAPY LLC NPI 1780467027

NPI Information

  • NPI: 1780467027
  • Provider Name: BALANCED EMBODIMENT THERAPY, LLC
  • Classification: Clinic/Center - 261QM0850X
  • Specialization: Adult Mental Health
  • Entity Type: Organization
  • Address: 226 E HANCOCK ST
    DECATUR, GA
    ZIP 30030
  • Phone: (706) 372-8158

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NPI Details

BALANCED EMBODIMENT THERAPY, LLC is an adult mental health clinic center in Decatur, GA. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults. BALANCED EMBODIMENT THERAPY, LLC NPI is 1780467027. The provider is registered as an organization entity type.

The provider's business location address is:

226 E HANCOCK ST
DECATUR, GA
ZIP 30030-757
Phone: (706) 372-8158

The provider's authorized official is Yoshika C. Hubbard-james .
The authorized official title is Owner and has the following contact phone number (706) 372-8158.

The enumeration date for this NPI number is 8/18/2023 and was last updated on 9/11/2023.

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
1261QM0855XClinic/CenterAdolescent and Children Mental HealthNo
2261QM0850XClinic/CenterAdult 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: 3/30/2025

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