LOVING LIFE WITH BALANCE; NPI #1114605227

Contact Information

LOVING LIFE WITH BALANCE

420 AZALEA DRIVE
SOMERVILLE, TN 38068

Phone: 520-542-2035
Fax: 877-540-0067
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Mental Health (Including Community Mental Health Center)	261QM0801X	B4[14]	Community Mental Health Center

Indicates primary specialty

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NPI Profile & details for LOVING LIFE WITH BALANCE

NPI Number	`1114605227`
LBN Legal business name	LOVING LIFE WITH BALANCE
Authorized official	ROSALINDA LOGAN-PETERS - (REVENUE CYCLE MANAGER)
Entity	Organization
Organization subpart ¹	No
Enumeration date	07/10/2023
Last updated	07/10/2023 - About 3 years ago
Identifiers	n/a

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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