The Balm Within, LLC

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

Legal business name

THE BALM WITHIN, LLC

Practice address

29551 Greenfield Rd Ste 112
Southfield, MI 48076-5871

Phone

(989) 520-1744

NPI assigned

Apr 21, 2022

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Amy E Phillips, LMSWNPI 1316614118

Title

Owner

Phone

(814) 360-0662

Specialties & licenses 1

Addresses

Other names 1

• Amy Phillips LMSW, LLC Former legal business name

Electronic endpoints 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Amy Phillips, LMSW

  • Clinical Social Worker
  • Southfield, MI
  • NPI 1316614118
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1650499200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1650499200000",
    "number": "1124762703",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29551 GREENFIELD RD STE 112",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480765871",
            "telephone_number": "989-520-1744"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29551 GREENFIELD RD STE 112",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480765871",
            "telephone_number": "989-520-1744"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE BALM WITHIN, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-21",
        "last_updated": "2022-04-21",
        "certification_date": "2022-04-21",
        "status": "A",
        "authorized_official_last_name": "PHILLIPS",
        "authorized_official_first_name": "AMY",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "814-360-0662",
        "authorized_official_credential": "LMSW"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "amy@thebalmwithin.com",
            "affiliation": "N",
            "endpointDescription": "Business emali",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "29551 Greenfield Rd Ste 112",
            "city": "Southfield",
            "state": "MI",
            "country_code": "US",
            "postal_code": "480765871",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Amy Phillips LMSW, LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• Adult Mental Health Clinic/Center in Southfield, MI
• Providers in Southfield, MI by specialty
• Adult Mental Health Clinic/Center in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.