Organization Active NPI

Key 2 Balance LLC

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Irvine, CA
National Provider Identifier
1710241989
Registry record updated Sep 12, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X
Legal business name
KEY 2 BALANCE LLC
Practice address
16 Technology
Suite 173
Irvine, CA 92618-2725
Phone
(949) 521-6890
NPI assigned
Jul 2, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2013

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

Authorized official

Name
Michele Lavigne, CADCII
Title
Founder/Program Director
Phone
(949) 521-6890

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X Primary
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X A7131111 CA

Addresses

Primary practice location

16 Technology
Suite 173
Irvine, CA 92618-2725

Mailing address

16 Technology Dr
Suite 173
Irvine, CA 92618-2355
Phone (949) 521-6890

Other names 1

  • Wellminded Doing business as

National Provider Directory

National Provider Directory

Locations

16 Technology Dr
Ste 173
Irvine, CA 92618
Phone (949) 521-6890

NPI Registry JSON

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

{
    "created_epoch": "1341187200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1378944000000",
    "number": "1710241989",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 TECHNOLOGY DR",
            "address_2": "SUITE 173",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926182355",
            "telephone_number": "949-521-6890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16 TECHNOLOGY",
            "address_2": "SUITE 173",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926182725",
            "telephone_number": "949-521-6890"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEY 2 BALANCE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-02",
        "last_updated": "2013-09-12",
        "status": "A",
        "authorized_official_last_name": "LAVIGNE",
        "authorized_official_first_name": "MICHELE",
        "authorized_official_title_or_position": "FOUNDER/PROGRAM DIRECTOR",
        "authorized_official_telephone_number": "949-521-6890",
        "authorized_official_credential": "CADCII"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "CA",
            "license": "A7131111",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wellminded",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Irvine, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2013; 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.