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Contact Information

BRAIN BODY BALANCE TREATMENT CENTERS
640 E 700 S STE 205A
SAINT GEORGE, UT84770-4023
 Phone: 435-767-8840
 Fax: 435-359-5120
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Psychiatry

2084P0800X 26 Physician/Psychiatry
 

Psychiatric/Mental Health

163WP0808X
Indicates primary specialty

NPI Profile & details for BRAIN BODY BALANCE TREATMENT CENTERS · (Female)

NPI Number 1164095022
Status Active
Credentials
Entity Individual
Enumeration date 07/20/2021
Last updated 11/16/2021 - About 5 years ago
Sole proprietor 1 Not specified
Identifiers
  • UT Medicaid 1730125956
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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