| The Center For Living Balance, Inc | |
|
130 Governors Sq Ste B Peachtree City GA 30269-4862 | |
| (770) 451-0404 | |
| (770) 451-0404 |
| Full Name | The Center For Living Balance, Inc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 130 Governors Sq Ste B, Peachtree City, Georgia |
| Authorized Official Name and Position | Amy Fowler Jaynes (OWNER/CLINICAL DIRECTOR) |
| Authorized Official Contact | 7704510404 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Center For Living Balance, Inc 130 Governors Sq Ste B Peachtree City GA 30269-4862 Ph: (770) 451-0404 | The Center For Living Balance, Inc 130 Governors Sq Ste B Peachtree City GA 30269-4862 Ph: (770) 451-0404 |
| NPI Number | 1457876906 |
|---|---|
| Provider Enumeration Date | 08/06/2017 |
| Last Update Date | 07/21/2022 |
| Certification Date | 01/27/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457876906 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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