The Center for Living Balance, Inc

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

THE CENTER FOR LIVING BALANCE, INC

Practice address

130 Governors SQ Ste B
Peachtree City, GA 30269-4862

Phone

(770) 451-0404

Fax

(770) 451-0404

NPI assigned

Aug 6, 2017

Organization subpart

No

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

Authorized official

Name

Amy Fowler Jaynes, MS, LPC, NCC, CRCNPI 1538593579

Title

Owner/Clinical Director

Phone

(770) 451-0404

Specialties & licenses 1

Addresses

Other names 2

• Amy Jaynes Counseling, LLC Former legal business name
• The Center for Living Balance, LLC Former legal business name

Locations

Practitioners 2

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

• Amy Fowler Jaynes, MS, LPC, NCC, CRC

  • Professional Counselor
  • Peachtree City, GA
  • NPI 1538593579
  NPD Authorized official
• Deana Riley, L.P.C., C.P.C.S.

  • Professional Counselor
  • Peachtree City, GA
  • NPI 1811084429
  NPD

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

{
    "created_epoch": "1501977600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1457876906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 GOVERNORS SQ STE B",
            "city": "PEACHTREE CITY",
            "state": "GA",
            "postal_code": "302694862",
            "telephone_number": "770-451-0404",
            "fax_number": "770-451-0404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 GOVERNORS SQ STE B",
            "city": "PEACHTREE CITY",
            "state": "GA",
            "postal_code": "302694862",
            "telephone_number": "770-451-0404",
            "fax_number": "770-451-0404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE CENTER FOR LIVING BALANCE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-06",
        "last_updated": "2022-07-21",
        "certification_date": "2020-01-27",
        "status": "A",
        "authorized_official_last_name": "JAYNES",
        "authorized_official_first_name": "AMY",
        "authorized_official_middle_name": "FOWLER",
        "authorized_official_title_or_position": "OWNER/CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "770-451-0404",
        "authorized_official_credential": "MS, LPC, NCC, CRC"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Amy Jaynes Counseling, LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "The Center for Living Balance, LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• Mental Health Clinic/Center (Including Community Mental Health Center) in Peachtree City, GA
• Providers in Peachtree City, GA by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Georgia

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