Provider Demographics
NPI:1619844602
Name:BALLARD AND ASSOC. LLC
Entity type:Organization
Organization Name:BALLARD AND ASSOC. LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:PAMELA
Authorized Official - Middle Name:KAY
Authorized Official - Last Name:BALLARD
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:812-483-1430
Mailing Address - Street 1:2724 WESLEY CHAPEL RD UNIT 360154
Mailing Address - Street 2:
Mailing Address - City:DECATUR
Mailing Address - State:GA
Mailing Address - Zip Code:30034-2303
Mailing Address - Country:US
Mailing Address - Phone:812-483-1430
Mailing Address - Fax:
Practice Address - Street 1:2724 WESLEY CHAPEL RD UNIT 360154
Practice Address - Street 2:
Practice Address - City:DECATUR
Practice Address - State:GA
Practice Address - Zip Code:30034-2303
Practice Address - Country:US
Practice Address - Phone:812-483-1430
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-10-22
Last Update Date:2025-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty