Bally Body & Soul Therapy

Primary specialty

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

Legal business name

BALLY BODY & SOUL THERAPY

Practice address

810 S Front St
Philadelphia, PA 19147-4308

Phone

(215) 859-8500

NPI assigned

May 19, 2026

Last updated

May 19, 2026By 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

Bally Radatti Gerzan, MA, LPCNPI 1861125593

Title

Owner/Counselor

Phone

(215) 859-8500

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.

• Bally Radatti Gerzan, LPC

  • Mental Health Counselor
  • Philadelphia, PA
  • NPI 1861125593
  NPD Authorized official

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

{
    "created_epoch": "1779148800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1779148800000",
    "number": "1477482974",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "627 S 2ND ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191472410",
            "telephone_number": "215-859-8500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "810 S FRONT ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191474308",
            "telephone_number": "215-859-8500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BALLY BODY & SOUL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-05-19",
        "last_updated": "2026-05-19",
        "certification_date": "2026-05-19",
        "status": "A",
        "authorized_official_last_name": "GERZAN",
        "authorized_official_first_name": "BALLY",
        "authorized_official_middle_name": "RADATTI",
        "authorized_official_title_or_position": "OWNER/COUNSELOR",
        "authorized_official_telephone_number": "215-859-8500",
        "authorized_official_credential": "MA, LPC"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karen Ballinger, MD
• Alban Balliu
• Tasshenia Bernice Ballow, M.P.T.
• Varalakshmi Ballur Narayana Reddy, M.D
• Joshua Sebastian Ballway, MD
• Balm Hands Home Care LLC
• Jarrod L Balmer, LCSW
• Balmont Family Practice Group P.C. (Balmont Family Practice)
• Zubair W Baloch, MD
• Douglas Balogun

• Mental Health Clinic/Center (Including Community Mental Health Center) in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2026; 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.