Brain Body Balance Treatment Centers

LBN: Brain Body Balance Treatment Centers
Brain Body Balance Treatment Centers is an health care organization with primary practice located at 640 E 700 S Ste 205A , Saint George UT 84770-4023. The organization recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Psychiatric/Mental Health, Allopathic & Osteopathic Physicians / Psychiatry. Allopathic & Osteopathic Physicians / Psychiatry is the primary health care specialty. Brain Body Balance Treatment Centers can be contacted via phone (435) 767-8840, or through Wolverton, Forrest Jim via phone (435) 767-8840.

Contact Information

Primary practice address
640 E 700 S Ste 205A Saint George UT 84770-4023
Phone: (435) 767-8840
Fax: (435) 359-5120
Website:
Map and Directions
Authorized official contact:
Name: Wolverton, Forrest Jim
Phone: (435) 767-8840

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Psychiatric/Mental Health 163WP0808X
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X

Profile Details

NPI number 1164095022
LBN Legal business name Brain Body Balance Treatment Centers
DBA Doing business as
Authorized official Wolverton, Forrest Jim
Entity Organization
Organization subpart 1 No
Enumeration date Jul 20th, 2021
Last updated Nov 16th, 2021 - about 5 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1164095022 NPPES
Utah MEDICAID 1730125956

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