Balance & Potential Inc

LBN: Balance & Potential Inc
Balance & Potential Inc is an health care organization with primary practice located at 555 Sun Valley Dr Ste P4 , Roswell GA 30076-5633. The organization recently has 5 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Cognitive & Behavioral, Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Clinical Child & Adolescent, Behavioral Health & Social Service Providers / Group Psychotherapy. Behavioral Health & Social Service Providers / Clinical is the primary health care specialty. Balance & Potential Inc can be contacted via phone (678) 644-0039, or through Moore, Kirsten via phone (678) 644-0039.

Contact Information

Primary practice address
555 Sun Valley Dr Ste P4 Roswell GA 30076-5633
Phone: (678) 644-0039
Fax: (678) 669-2740
Website:
Map and Directions
Authorized official contact:
Name: Moore, Kirsten PSY.D.
Phone: (678) 644-0039

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X PSY003755 Georgia
Behavioral Health & Social Service Providers / Cognitive & Behavioral 103TB0200X PSY003755 Georgia
Behavioral Health & Social Service Providers / Clinical 103TC0700X PSY003755 Georgia
Behavioral Health & Social Service Providers / Clinical Child & Adolescent 103TC2200X PSY003755 Georgia
Behavioral Health & Social Service Providers / Group Psychotherapy 103TP2701X PSY003755 Georgia

Profile Details

NPI number 1073906707
LBN Legal business name Balance & Potential Inc
DBA Doing business as
Authorized official Moore, Kirsten PSY.D.
Entity Organization
Organization subpart 1 No
Enumeration date Mar 4th, 2015
Last updated Mar 4th, 2015 - about 9 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1073906707 NPPES
Georgia MEDICAID 003148513A

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