A Balanced Life Therapeutic Services

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

A BALANCED LIFE THERAPEUTIC SERVICES

Practice address

10601 S Western Ave Ste 110
Oklahoma City, OK 73170-6215

Phone

(405) 551-0794

NPI assigned

Jun 27, 2015

Last updated

Jun 27, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Candeeta Joy Oliver

Title

Owner

Phone

(405) 551-0794

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1435363200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1435363200000",
    "number": "1356723290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10601 S WESTERN AVE STE 110",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731706215"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10601 S WESTERN AVE STE 110",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731706215",
            "telephone_number": "405-551-0794"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "A BALANCED LIFE THERAPEUTIC SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-27",
        "last_updated": "2015-06-27",
        "status": "A",
        "authorized_official_last_name": "OLIVER",
        "authorized_official_first_name": "CANDEETA",
        "authorized_official_middle_name": "JOY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "405-551-0794"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2015; 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.