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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

NPI # 1164095022
LBN Legal business name BRAIN BODY BALANCE TREATMENT CENTERS
Authorized official FORREST WOLVERTON - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 07/20/2021
Last updated 11/16/2021 - About 5 years ago
Identifiers
UT Medicaid 1730125956
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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