| Balancing Life Psychology | |
|
2695 Sugarloaf Pkwy Lawrenceville GA 30045-9456 | |
| (404) 936-9455 | |
| Not Available |
| Full Name | Balancing Life Psychology |
|---|---|
| Speciality | Psychologist |
| Location | 2695 Sugarloaf Pkwy, Lawrenceville, Georgia |
| Authorized Official Name and Position | Rolake Tomoiri (OWNER/OPERATOR) |
| Authorized Official Contact | 4049369455 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Balancing Life Psychology Po Box 6181 Marietta GA 30065-0181 Ph: (404) 936-9455 | Balancing Life Psychology 2695 Sugarloaf Pkwy Lawrenceville GA 30045-9456 Ph: (404) 936-9455 |
| NPI Number | 1649991589 |
|---|---|
| Provider Enumeration Date | 09/08/2022 |
| Last Update Date | 10/09/2023 |
| Certification Date | 10/09/2023 |
| Medicare PECOS PAC ID | 5698128767 |
|---|---|
| Medicare Enrollment ID | O20240125002163 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649991589 | NPI | - | NPPES |
| Provider Name | Rolake Tomori |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1063555266 PECOS PAC ID: 3476710617 Enrollment ID: I20240125002302 |
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