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NEW BALANCE SERVICES NPI 1417392515


NPI Information

NPI: 1417392515
Provider Name: NEW BALANCE SERVICES,

Other Name: NEW BALANCE COUNSELING AND SERVICES

Classification: Counselor - 101YP2500X
Entity Type: Organization

Specialization: Professional

Address:
1625 CAMDEN WAY
EDMOND, OK
ZIP 73013
Phone: (405) 328-3620
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NEW BALANCE SERVICES, is a professional counselor in Edmond, OK. NEW BALANCE SERVICES, NPI is 1417392515. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Other Name Is New Balance Counseling And Services.

The provider's business location address is:

1625 CAMDEN WAY
EDMOND, OK
ZIP 73013-942
Phone: (405) 328-3620

The provider's authorized official is Jeffrey Keith Jenkins .
The authorized official title is Therapist and has the following contact phone number (405) 328-3620.

The enumeration date for this NPI number is 5/2/2013 and was last updated on 5/2/2013.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1101YA0400XCounselorAddiction (Substance Use Disorder)OKLAHOMANo
2101YM0800XCounselorMental HealthOKLAHOMANo
3101YS0200XCounselorSchoolOKLAHOMANo
4103TA0700XPsychologistAdult Development & AgingOKLAHOMANo
5103TB0200XPsychologistCognitive & BehavioralOKLAHOMANo
6103TF0000XPsychologistFamilyOKLAHOMANo
7106H00000XMarriage & Family TherapistOKLAHOMANo
8101YP2500XCounselorProfessionalOKLAHOMAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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