Organization
BALANCED EMBODIMENT THERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
YOSHIKA C. HUBBARD-JAMES LMSW (OWNER)
(706) 372-8158
Entity
Organization
Contact information
Practice address
226 E HANCOCK ST, DECATUR, GA 30030-3757
(706) 372-8158
Mailing address
226 E HANCOCK ST, DECATUR, GA 30030-3757
(706) 372-8158
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Enumeration date
08/18/2023
Last updated
09/11/2023
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