Balance and Bloom Therapy, LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

BALANCE AND BLOOM THERAPY, LLC

Practice address

104 N Airline Hwy Ste 208
Gonzales, LA 70737-3023

Phone

(985) 789-5521

NPI assigned

Feb 1, 2023

Last updated

Feb 1, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Manda Shae Brown, LCSWNPI 1437525888

Title

Owner

Phone

(985) 789-5521

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Manda Shae Brown, LMSW

  • School Social Worker
  • Baton Rouge, LA
  • NPI 1437525888
  NPD Authorized official

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

{
    "created_epoch": "1675209600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1675209600000",
    "number": "1174229157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 N AIRLINE HWY STE 208",
            "city": "GONZALES",
            "state": "LA",
            "postal_code": "707373023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 N AIRLINE HWY STE 208",
            "city": "GONZALES",
            "state": "LA",
            "postal_code": "707373023",
            "telephone_number": "985-789-5521"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BALANCE AND BLOOM THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-01",
        "last_updated": "2023-02-01",
        "certification_date": "2023-02-01",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "MANDA",
        "authorized_official_middle_name": "SHAE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "985-789-5521",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Avery's at Homecare, LLC (Avery's Mental Health)
• Amer M. Awad, MD
• Samantha C Babin, MHT
• Cary M Bahlinger, LCSW
• Tammy B Bailey
• Angela Martin Barker, RN
• Matthew Neil Barnes, OD
• Brad Anthony Batiste, MSW, GSW
• Darrien Batiste
• Juquilla Miller Batiste

• Clinical Social Worker in Gonzales, LA
• Providers in Gonzales, LA by specialty
• Clinical Social Worker in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2023; 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.