| Living Balance Psychotherapy Llc | |
|
2810 Peachtree Industrial Blvd Ste D Duluth GA 30097-8142 | |
| (404) 919-8496 | |
| Not Available |
| Full Name | Living Balance Psychotherapy Llc |
|---|---|
| Speciality | Social Worker |
| Location | 2810 Peachtree Industrial Blvd Ste D, Duluth, Georgia |
| Authorized Official Name and Position | Ann Gillman (CO-OWNER) |
| Authorized Official Contact | 4049198496 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Living Balance Psychotherapy Llc 3470 Mcclure Bridge Rd Unit 2511 Duluth GA 30096-1125 Ph: () - | Living Balance Psychotherapy Llc 2810 Peachtree Industrial Blvd Ste D Duluth GA 30097-8142 Ph: (404) 919-8496 |
| NPI Number | 1265149835 |
|---|---|
| Provider Enumeration Date | 11/02/2022 |
| Last Update Date | 11/02/2022 |
| Certification Date | 11/02/2022 |
| Medicare PECOS PAC ID | 7214307990 |
|---|---|
| Medicare Enrollment ID | O20221222000481 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265149835 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Ann Elizabeth Gillman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1407588122 PECOS PAC ID: 8123498805 Enrollment ID: I20221227002142 |
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