Active NPI
Key 2 Balance LLC
- Substance Use Disorder Rehabilitation Clinic/Center
- Irvine, CA
National Provider Identifier
1710241989
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Substance Use Disorder Rehabilitation Clinic/Center
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider DirectoryLocations
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.