Organization
A BALANCED MIND, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. VALERIE NICOLE KELLER GATES LPC (OWNER)
(405) 833-3935
Entity
Organization
Contact information
Practice address
8541 HURST CT, OKLAHOMA CITY, OK 73114-4402
(405) 312-5661
Mailing address
PO BOX 13353, OKLAHOMA CITY, OK 73113-1353
(405) 312-5661
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200619800C
—
OK
Enumeration date
05/07/2018
Last updated
09/26/2024
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