Balcom, Kayla

Balcom, Kayla is an sole proprietor health care provider with primary practice located at 2721 Williamsburg Way , Decatur GA 30034-1310. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counseling, Behavioral Health & Social Service Providers / Exercise & Sports. Behavioral Health & Social Service Providers / Exercise & Sports is her primary health care specialty. Balcom, Kayla can be contacted via phone (208) 681-8989.

Contact Information

Primary practice address
2721 Williamsburg Way Decatur GA 30034-1310
Phone: (208) 681-8989
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counseling 103TC1900X PSY004384 Georgia
Behavioral Health & Social Service Providers / Exercise & Sports 103TE1100X PSY004384 Georgia

Profile Details

NPI number 1962077453
LBN Legal business name Balcom, Kayla
Credentials PHD
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 26th, 2021
Last updated May 26th, 2021 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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