Healthy Lifestyle Resource Center

Primary specialty

Case Management AgencyTaxonomy code 251B00000X

License

M6177 Issued in OR

Legal business name

HEALTHY LIFESTYLE RESOURCE CENTER

Practice address

2525 NE Twin Knolls Dr Ste 9
Bend, OR 97701-5264

Phone

(541) 749-8236

NPI assigned

May 21, 2015

Organization subpart

No

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

Authorized official

Name

Mrs. Kristin Gyford, LMSW

Title

HLRC Program Director

Phone

(541) 749-8236

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1432166400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1432166400000",
    "number": "1932588084",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2525 NE TWIN KNOLLS DR",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977015275"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2525 NE TWIN KNOLLS DR STE 9",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977015264",
            "telephone_number": "541-749-8236"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTHY LIFESTYLE RESOURCE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-21",
        "last_updated": "2015-05-21",
        "status": "A",
        "authorized_official_last_name": "GYFORD",
        "authorized_official_first_name": "KRISTIN",
        "authorized_official_title_or_position": "HLRC PROGRAM DIRECTOR",
        "authorized_official_telephone_number": "541-749-8236",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LMSW"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "OR",
            "license": "M6177",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Healing Spirit Massage and Health Spa, LLC
• Healthwise Inc.
• Healthy Minds Central Oregon
• Healthy Roots Endodontics LLC
• Christopher William Healy, D.O.
• Lorrayne Healy, LPC
• Sean M. Healy, PA-C

• Case Management Agency in Bend, OR
• Providers in Bend, OR by specialty
• Case Management Agency in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 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.