Organization
BALANCE WOMEN'S HEALTH, LLC
Active
Other names
LifeStance Health
Organization subpart
No
Provider details
NPI number
Authorized official
RYAN PARDO (CHIEF LEGAL OFFICER)
(206) 399-1493
Entity
Organization
Contact information
Practice address
1105 SW 30TH CT, MOORE, OK 73160
(405) 378-2727
Mailing address
1105 SW 30TH CT, MOORE, OK 73160
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
27766
OK
Other
Enumeration date
09/15/2014
Last updated
03/28/2023
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