Organization
BALLY BODY & SOUL THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BALLY RADATTI GERZAN MA, LPC (OWNER/COUNSELOR)
(215) 859-8500
Entity
Organization
Contact information
Practice address
810 S FRONT ST, PHILADELPHIA, PA 19147-4308
(215) 859-8500
Mailing address
627 S 2ND ST, PHILADELPHIA, PA 19147-2410
(215) 859-8500
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
05/19/2026
Last updated
05/19/2026
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