KEY 2 BALANCE LLC (NPI# 1710241989) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1710241989 |
Entity Type | Organization |
Organization Name | KEY 2 BALANCE LLC |
Other Organization Name | WELLMINDED |
Practice Address |
16 Technology Suite 173 Irvine CA 92618-2725 |
Mailing Address |
16 Technology Dr Suite 173 Irvine CA 92618-2355 |
Practice Telephone | 9495216890 |
Mailing Telephone | 9495216890 |
Enumeration Date | 2012-07-02 |
Last Update Date | 2013-09-12 |
Authorized Official Name | MICHELE LAVIGNE (FOUNDER/PROGRAM DIRECTOR) |
Authorized Official Telephone | 9495216890 |
Authorized Official Credential | CADCII |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 320900000X | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | A7131111 | CA | Residential Treatment Facilities |
Y | 261QR0405X |
Clinic/Center Specialization: Rehabilitation, Substance Use Disorder |
Ambulatory Health Care Facilities |
Other Name | Type Code |
---|---|
Wellminded | Doing Business As Name - Organization |
Street Address |
16 TECHNOLOGY SUITE 173 |
City | IRVINE |
State | CA |
Zip Code | 92618-2725 |
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1790263713 | Jw Professional Dental Corporation | Dentist | 14785 Jeffrey Rd. Ste 200, Irvine, CA 92618 | 2018-08-01 |
1093200610 | Kevin Dinh Trinh, Md Inc. | Anesthesiology | 100 Fieldwood, Irvine, CA 92618 | 2018-06-26 |
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1144738899 | Morvarid Emamy | Dentist | 23448 Spectrum, Irvine, CA 92618 | 2018-01-16 |
1083123194 | Ning Wang | Behavioral Analyst | 9844 Research Dr Ste 100, Irvine, CA 92618 | 2017-09-21 |
1043679715 | Dent All By Dr. Z | Dentist | 15362 Alton Parkway, Irvine, CA 92618 | 2016-02-23 |
1265897862 | Whitney Elyse Davies | Physical Therapist | 26650 Alton Parkway, Irvine, CA 92618 | 2015-12-23 |
1245619295 | Nora Witt | Registered Nurse | 16205 Sand Canyon Avenue, Suite 100, Irvine, CA 92618 | 2015-05-22 |
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Taxonomy Code | 261QR0405X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Rehabilitation, Substance Use Disorder |
Definition to come... |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.