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General NPI Number Information
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NPI Number | 1275299828
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Entity Type | Organization
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Legal Business Name | N'PERFECT BALANCE, INC
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Dates
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Enumeration Date | 11/09/2021
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Last Update Date | 04/26/2024
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Provider Practice Location Address
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Address Line | 3568 HABERSHAM AT NORTHLAKE ROAD BLDG.K
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City | TUCKER
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State | GA
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Zip | 30084
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Country | US
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Telephone | 678-585-2300
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Fax | 770-302-0892
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Provider Business Mailing Address
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Address Line | 3568 HABERSHAM AT NORTHLAKE ROAD BLDG.K
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City | TUCKER
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State | GA
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Zip | 30084
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Country | US
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Telephone | 678-585-2300
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Fax | 770-302-0892
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Authorized Official
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Title or Position | OWNER
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Name | MRS. SHANA TRIMBLE
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Credential | LMFT
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Telephone | 678-585-2300
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 106S00000X
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Taxonomy Name | Behavior Technician
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number |
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License Number State |
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Taxonomy #7
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number |
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License Number State |
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