| Balanced Embodiment Therapy, Llc | |
|
226 E Hancock St Decatur GA 30030-3757 | |
| (706) 372-8158 | |
| Not Available |
| Full Name | Balanced Embodiment Therapy, Llc |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 226 E Hancock St, Decatur, Georgia |
| Authorized Official Name and Position | Yoshika C. Hubbard-james (OWNER) |
| Authorized Official Contact | 7063728158 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Balanced Embodiment Therapy, Llc 226 E Hancock St Decatur GA 30030-3757 Ph: (706) 372-8158 | Balanced Embodiment Therapy, Llc 226 E Hancock St Decatur GA 30030-3757 Ph: (706) 372-8158 |
| NPI Number | 1780467027 |
|---|---|
| Provider Enumeration Date | 08/18/2023 |
| Last Update Date | 09/11/2023 |
| Certification Date | 09/11/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780467027 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
| 261QM0855X | Clinic/center - Adolescent And Children Mental Health | (* (Not Available)) | Secondary |
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