MEDICARE: A BALANCED LIFE THERAPEUTIC SERVICES

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251B00000X	Case Management Agency
2	251S00000X	Community/Behavioral Health Agency

General Provider Information

NPI Number	:	1356723290
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	A BALANCED LIFE THERAPEUTIC SERVICES

Provider Business Mailing Address
First Line	:	10601 S WESTERN AVE STE 110
Second Line	:
City	:	OKLAHOMA CITY
State	:	OK
Zip	:	73170-6215
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	10601 S WESTERN AVE STE 110
Second Line	:
City	:	OKLAHOMA CITY
State	:	OK
Zip	:	73170-6215
Country	:	US
Telephone Number	:	405-551-0794
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	CANDEETA JOY OLIVER
Credential	:
Telephone Number	:	405-551-0794

Provider Enumeration Date	:	06/27/2015
Last Update Date	:	06/27/2015

Similar Medicare Providers

1801942081 — MS. MONA L MEIER MSW, LCSW
Practice Location Address:

10601 S WESTERN , STE 107
OKLAHOMA CITY, OK
73170-6215

Practice Phone: 405-826-6983
Practice Fax: 405-735-3942

1962833855 — LYNDA PHU HUA LPC
Practice Location Address:

10601 S WESTERN AVE STE 117
OKLAHOMA CITY, OK
73170-6215

Practice Phone: 817-721-3383
Practice Fax:

1619380995 — MS. TARA THIRY NP-C
Practice Location Address:

10601 S WESTERN AVE STE 120
OKLAHOMA CITY, OK
73170-6215

Practice Phone: 405-615-3570
Practice Fax:

1366817975 — REBECCA LYNN DUFEK LPC
Practice Location Address:

10601 S WESTERN AVE STE 117
OKLAHOMA CITY, OK
73170-6215

Practice Phone: 405-276-2476
Practice Fax: 405-703-4429

1992274468 — SUSAN WYANT
Practice Location Address:

10601 S WESTERN AVE STE 110
OKLAHOMA CITY, OK
73170-6215

Practice Phone: 405-703-4423
Practice Fax: 405-703-4499

1164060992 — INNOVO COUNSELING AND CONSULTING, INC.
Practice Location Address:

10601 S WESTERN AVE STE 117
OKLAHOMA CITY, OK
73170-6215

Practice Phone: 405-276-2476
Practice Fax: 405-703-4429

Directions to “A BALANCED LIFE THERAPEUTIC SERVICES ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.