Organization
N'PERFECT BALANCE, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SHANA TRIMBLE LMFT (OWNER)
(678) 585-2300
Entity
Organization
Contact information
Practice address
3568 HABERSHAM AT NORTHLAKE ROAD, BLDG.K, TUCKER, GA 30084
(678) 585-2300
(770) 302-0892
Mailing address
3568 HABERSHAM AT NORTHLAKE ROAD, BLDG.K, TUCKER, GA 30084
(678) 585-2300
(770) 302-0892
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
—
—
103T00000X
Psychologist
—
—
104100000X
Social Worker
—
—
106H00000X
Marriage & Family Therapist
Primary
—
—
106S00000X
Behavior Technician
—
—
2084P0800X
Psychiatry Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MFT001743
GA LICENSE BOARD
GA
Enumeration date
11/09/2021
Last updated
04/26/2024
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