Life Balance Therapy, LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

0000002511 Issued in TN

Legal business name

LIFE BALANCE THERAPY, LLC

Practice address

5865 Ridgeway Center Pkwy Ste 300
Memphis, TN 38120-4014

Phone

(901) 598-2431

NPI assigned

Dec 6, 2011

Organization subpart

No

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

Authorized official

Name

Ebony Bailey, MA, LPC-MHSPNPI 1427197797

Title

Owner/Psychotherapy

Phone

(901) 598-2431

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Ebony Bailey Doing business as

Locations

Practitioners 1

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

• Ebony Kemyatta Bailey, MA

  • Counselor
  • Memphis, TN
  • NPI 1427197797
  NPD (past) Authorized official

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

{
    "created_epoch": "1323129600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1649376000000",
    "number": "1902174949",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "313 LOONEY AVE",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381073790",
            "telephone_number": "901-598-2431"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5865 RIDGEWAY CENTER PKWY STE 300",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381204014",
            "telephone_number": "901-598-2431"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFE BALANCE THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-06",
        "last_updated": "2022-04-08",
        "certification_date": "2022-04-08",
        "status": "A",
        "authorized_official_last_name": "BAILEY",
        "authorized_official_first_name": "EBONY",
        "authorized_official_title_or_position": "OWNER/PSYCHOTHERAPY",
        "authorized_official_telephone_number": "901-598-2431",
        "authorized_official_credential": "MA, LPC-MHSP"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "TN",
            "license": "0000002511",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INSTAMED",
            "identifier": "2511",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ebony Bailey",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jay Adam Lieberman, M.D.
• Phillip L Lieberman, MD
• Shannon Nicole Lieblong, AU.D.
• Lisa Liebschwager
• Christopher W Lievens, OD
• Life Changing Foundation
• Life Changing World Outreach Community Development Corporation Inc
• Life Enhancement Services - Tennessee
• Life Help Psychiatry & Coaching LLC
• Life Options of West TN, Inc

• Community/Behavioral Health Agency in Memphis, TN
• Providers in Memphis, TN by specialty
• Community/Behavioral Health Agency in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 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.