Bulk check

Balance & Potential INC

Psychologist, Clinical in Roswell, GA. Organization (NPI-2).

NPI number1073906707
StatusActive
Last updated in NPPESMar 4, 2015

Details

NPI
1073906707
Entity type
Organization (NPI-2)
Legal business name
Balance & Potential INC
Organization subpart
No
Enumeration date
Mar 4, 2015
Last updated
Mar 4, 2015

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
103TC0700X Psychologist, ClinicalPSY003755GAYes
103T00000X PsychologistPSY003755GA
103TB0200X Psychologist, Cognitive & BehavioralPSY003755GA
103TC2200X Psychologist, Clinical Child & AdolescentPSY003755GA
103TP2701X Psychologist, Group PsychotherapyPSY003755GA

Practice location

555 Sun Valley Dr Ste P4
Roswell, GA 30076-5633

Phone 678-644-0039 · Fax 678-669-2740

Mailing address

555 Sun Valley Dr Ste P4
Roswell, GA 30076-5633

Phone 678-644-0039 · Fax 678-669-2740

Authorized official

Kirsten Moore
President
6786440039

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Psychologist, Clinical providers in Roswell, GA

Checking a whole list?

Paste up to 5,000 NPIs and download status, name, taxonomy, license and address for each one. Useful for credentialing, billing and pharmacy claim checks.

Start a bulk check