A Balanced Mind, LLC
Organization Active NPI Mental Health Counselor · Oklahoma City, OK
NPI 1629567458 · NPPES record last updated Sep 26, 2024
Key facts
- NPI
- 1629567458
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Mental Health Counselor 101YM0800X
- Legal business name
- A BALANCED MIND, LLC
- Practice address
- 8541 Hurst CT
Oklahoma City, OK 73114-4402 - Phone
- (405) 312-5661
- NPI assigned
- May 7, 2018
- Organization subpart
- No
Authorized official
- Name
- Mrs. Valerie Nicole Keller Gates, LPC
- Title
- Owner
- Phone
- (405) 833-3935
Practitioners 1
National Provider Directory
Locations
7416 Broadway Ext
Ste G
Oklahoma City, OK 73116
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor |
101YM0800X | Yes |
Addresses
Primary practice location
8541 Hurst CT
Oklahoma City, OK 73114-4402
Mailing address
PO Box 13353
Oklahoma City, OK 73113-1353
Phone (405) 312-5661
Other practice location 1
5505 Main St Ste 100
Del City, OK 73115-5508
Phone (405) 312-5661
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200619800C | Medicaid | OK |
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All providers in Oklahoma City, OK · Mental Health Counselor in Oklahoma
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 26, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.