BALANCE PSYCHIATRY & WELLNESS PLLC (NPI# 1508487646) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508487646 |
| Entity Type | Organization |
| Organization Name | BALANCE PSYCHIATRY & WELLNESS PLLC |
| Practice Address |
1218 E 9th St Ste 4 Edmond OK 73034-5796 |
| Practice Telephone | 4055633820 |
| Mailing Telephone | 4055633820 |
| Enumeration Date | 2020-04-29 |
| Last Update Date | 2020-04-29 |
| Authorized Official Name | MICHELLE HOLLOWAY (PSYCHIATRIST/OWNER) |
| Authorized Official Telephone | 4055633820 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2084P0804X |
Psychiatry & Neurology Specialization: Child & Adolescent Psychiatry |
Allopathic & Osteopathic Physicians | ||
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
Physician Assistants & Advanced Practice Nursing Providers | ||
| Y | 163WP0808X |
Registered Nurse Specialization: Psych/Mental Health |
Nursing Service Providers |
| Street Address |
1218 E 9TH ST STE 4 |
| City | EDMOND |
| State | OK |
| Zip Code | 73034-5796 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093020828 | Anne Alexandra Gorges | Counselor | 1218 E 9th St Ste 4, Edmond, OK 73034-5796 | 2010-08-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306447172 | Saints Medical Group, LLC | Family Medicine | 2749 Progressive Dr, Suite B, Edmond, OK 73034 | 2020-11-06 |
| 1194339861 | Susan Haesook Kim | Pharmacist | 1400 2nd St, Edmod, Edmond, OK 73034 | 2020-09-01 |
| 1821616038 | Aaron Michael Gowens | Specialist/Technologist | 015 Wantland Hall 100 University Dr., Edmond, OK 73034 | 2020-07-14 |
| 1043834849 | Paddington Place Lcc | Intermediate Care Facility, Mental Illness | 3225 French Park Drive, Suite 6, Edmond, OK 73034 | 2020-06-08 |
| 1083254932 | Purpose Healthcare Inc | Psychologist | 301 South Blvd, Suite 117, Edmond, OK 73034 | 2020-01-08 |
| 1740773662 | Healthcare Express, LLP | Family Medicine | 2300 E 2nd St, Edmond, OK 73034 | 2018-06-14 |
| 1427555713 | Sara Nicole Smith | Specialist/Technologist | 100 N University Drive, Attn: Athletic Training Room, Edmond, OK 73034 | 2018-04-12 |
| 1619475084 | Carissa Leigh Brackelsberg | Chiropractor | 3709 E 2nd St, Edmond, OK 73034 | 2018-01-31 |
| 1760996177 | Laurel Michelle Glendening | Physical Therapist | 3531 River Wood Lane, Edmond, OK 73034 | 2017-11-21 |
| 1134643380 | Keith S Quinn | Dentist | 3008 Peaceful Ln, Edmond, OK 73034 | 2017-07-31 |
| Find all providers in zip 73034 | ||||
| Taxonomy Code | 163WP0808X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922316975 | Felicia L Johnson | Registered Nurse | 1701 Nw 149th St, Edmond, OK 73013-1596 | 2010-09-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528668118 | David Michael Rackley | Registered Nurse | 13130 Sw 13th St, Yukon, OK 73099-6368 | 2020-10-31 |
| 1083197412 | Madison Nicole Richardson | Registered Nurse | 2942 Nw 30th St, Oklahoma City, OK 73112-6906 | 2018-09-12 |
| 1427582782 | Kriste Jo Benoit | Registered Nurse | 116 W Olney St, Chouteau, OK 74337-0922 | 2017-04-13 |
| 1790143246 | Erin Hastings | Registered Nurse | 11420 Sw 25th Ter, Yukon, OK 73099-1911 | 2016-01-29 |
| 1902233620 | Rosa C Feistel | Registered Nurse | 900 S Ellison Ave, El Reno, OK 73036-5226 | 2013-09-27 |
| 1972822427 | Ellen Sue Huffmaster | Registered Nurse | 529 N. Grand Avenue, Enid, OK 73701 | 2010-05-24 |
| 1801119128 | Stephanie Harper | Registered Nurse | 1 Mile E. Us Hwy 270, Fort Supply, OK 73841 | 2010-03-02 |
| 1265755581 | Penny Hills | Registered Nurse | 1 Mile E. U S Hwy 270, Fort Supply, OK 73841 | 2010-03-02 |
| 1386972099 | Barbara Carter | Registered Nurse | 5120 Us Hwy 54 Ne, Guymon, OK 73942 | 2009-11-19 |
| 1326375494 | Whitney Jean Schroeder | Registered Nurse | 115 E Elmira Pl, Broken Arrow, OK 74012-8896 | 2009-11-11 |
| Find all providers with the same taxonomy | ||||
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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.