Organization Active NPI

Spring of Life Family Services LLC

  • Community/Behavioral Health Agency
  • Oklahoma City, OK
National Provider Identifier
1003234907
Registry record updated Mar 29, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
4942 Issued in OK
Legal business name
SPRING OF LIFE FAMILY SERVICES LLC
Practice address
7814 NW 94TH St Ste B
Oklahoma City, OK 73162-6203
Phone
(405) 414-0043
NPI assigned
Mar 29, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2014

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

Authorized official

Name
Ruth Kinyuy Lange, LPC
Title
Owner/Executive Director
Phone
(405) 414-0043

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 4942 OK Primary

Addresses

Primary practice location

7814 NW 94TH St Ste B
Oklahoma City, OK 73162-6203

Mailing address

7814 Northwest 94TH, Suite B
Okc, OK 73162-6201
Phone (405) 414-0043

National Provider Directory

National Provider Directory

Locations

7814 NW 94th St
Ste B
Oklahoma City, OK 73162
Phone (405) 414-0043

NPI Registry JSON

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

{
    "created_epoch": "1396051200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1396051200000",
    "number": "1003234907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7814 NORTHWEST 94TH, SUITE B",
            "city": "OKC",
            "state": "OK",
            "postal_code": "731626201",
            "telephone_number": "405-414-0043"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7814 NW 94TH ST STE B",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731626203",
            "telephone_number": "405-414-0043"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPRING OF LIFE FAMILY SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-29",
        "last_updated": "2014-03-29",
        "status": "A",
        "authorized_official_last_name": "LANGE",
        "authorized_official_first_name": "RUTH",
        "authorized_official_middle_name": "KINYUY",
        "authorized_official_title_or_position": "OWNER/EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "405-414-0043",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "OK",
            "license": "4942",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oklahoma City, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2014; 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.