BALANCE GROUND COUNSELING LLC NPI 1053937490

NPI Information

NPI: 1053937490
Provider Name: BALANCE GROUND COUNSELING LLC
Classification: Counselor - 101YM0800X
Entity Type: Organization

Specialization: Mental Health

Address:
240 LOFTY EAGLE LN
FAYETTEVILLE, GA
ZIP 30214
Phone: (770) 756-6037
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BALANCE GROUND COUNSELING LLC is a mental health counselor in Fayetteville, GA. BALANCE GROUND COUNSELING LLC NPI is 1053937490. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

240 LOFTY EAGLE LN
FAYETTEVILLE, GA
ZIP 30214-531
Phone: (770) 756-6037

The provider's authorized official is Letrice Deloach .
The authorized official title is Ceo and has the following contact phone number (404) 202-2757.

The enumeration date for this NPI number is 6/22/2020 and was last updated on 6/22/2020.

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	101YM0800X	Counselor	Mental Health			Yes

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: 5/5/2024

NPI Synchronization or Removal

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