BALLY BODY & SOUL THERAPY – NPI #1477482974
Clinic/Center

BALLY BODY & SOUL THERAPY is an AHC clinic located in PHILADELPHIA, PA. NPPES recently assigned the NPI number 1477482974 to BALLY BODY & SOUL THERAPY on May 19, 2026. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 261QM0801X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Mental Health (Including Community Mental Health Center)

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for BALLY BODY & SOUL THERAPY below.

NPI Profile for
BALLY BODY & SOUL THERAPY

NPI Number
1477482974
Enumeration Date

(about 3 weeks ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
BALLY BODY & SOUL THERAPY
Primary location
810 S FRONT ST
PHILADELPHIA, PA 19147-4308
Phone: (215) 859-8500 Fax:
Mailing address
627 S 2ND ST
PHILADELPHIA, PA 19147-2410
Phone: (215) 859-8500 Fax:
Organization Subpart
No
Authorized Official
BALLY GERZAN
OWNER/COUNSELOR
Phone: (215) 859-8500
Updated
Certification Date
May 19, 2026

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QM0801X
- Clinic/Center / Mental Health (Including Community Mental Health Center) (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.