Organization · NPI-2
A Balanced Mind, LLC
Counselor, Mental Health · Oklahoma City, OK
NPI number1629567458
StatusActive
Last updated in NPPESSep 26, 2024
Details
- NPI
- 1629567458
- Entity type
- Organization (NPI-2)
- Legal business name
- A Balanced Mind, LLC
- Organization subpart
- No
- Enumeration date
- May 7, 2018
- Certification date
- Sep 26, 2024
- Last updated
- Sep 26, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YM0800X | Counselor, Mental Health | – | – | Yes |
Practice location
8541 Hurst CtOklahoma City, OK 73114-4402
Phone 405-312-5661
Mailing address
Po Box 13353Oklahoma City, OK 73113-1353
Phone 405-312-5661
Other practice locations
5505 Main St Ste 100
Del City, OK 73115-5508
Del City, OK 73115-5508
Phone 405-312-5661
Authorized official
Valerie Nicole Keller Gates
Owner
4058333935
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