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LOVE GROW LIVE CENTER, INC
NPI 1295421709
Community/Behavioral Health in Oklahoma City, OK

Active since April 17, 2023
12000 N VIRGINIA AVE, OKLAHOMA CITY, OK 73120(405) 315-9790 Get Directions Write a Review

NPPES record last updated: April 17, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Love Grow Live Center, Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LOVE GROW LIVE CENTER, INC (NPI 1295421709) is a healthcare organization registered as a community/behavioral health in Oklahoma City, Oklahoma and active in the NPI registry since April 2023. The organization maintains a secondary practice location in Oklahoma City and lists Leslie M Burnside, Program Coordinator, as its authorized official.

NPPES Registry Identity

NPI1295421709
Entity TypeOrganization
Primary Taxonomy251S00000X
Legal Business NameLOVE GROW LIVE CENTER, INC
Location Address12000 N VIRGINIA AVEOklahoma City, OK 73120-7581
Mailing Address12000 N Virginia AveOklahoma City, OK 73120-7581 · (405) 315-9790
Phone(405) 315-9790
Organization SubpartNo
Authorized OfficialLeslie M BurnsideProgram Coordinator · (870) 415-9993
Enumeration DateApril 17, 2023
NPPES CertifiedApril 17, 2023
✔ NPI 1295421709 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyCommunity/Behavioral HealthAgencies
Taxonomy Code251S00000X
Definition
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
Also ListedCase ManagementTaxonomy 251B00000X
Also ListedEarly Intervention Provider AgencyTaxonomy 252Y00000X
Also ListedClinic/Center · Developmental DisabilitiesTaxonomy 261QD1600X
12000 N VIRGINIA AVE, Oklahoma City, OK 73120
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Secondary Practice Location 1

Location 14125 NE 16th StOklahoma City, OK 73117-6807 · Phone (405) 546-7600

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

BRITTNEY GENEVA FRAZIER
Case Manager/Care Coordinator
12000 N VIRGINIA AVE
OKLAHOMA CITY, OK 73120
Oklahoma County (405) 835-6757
MELISSA NICHOLE OTTO PPS
Psychologist (School)
12000 N VIRGINIA AVE
OKLAHOMA CITY, OK 73120
Oklahoma County (405) 835-6757
RICKEY HOUSE
Case Manager/Care Coordinator
12000 N VIRGINIA AVE
OKLAHOMA CITY, OK 73120
Oklahoma County (405) 835-6757
RAPHAEL BONELLE
Behavior Analyst
12000 N VIRGINIA AVE
OKLAHOMA CITY, OK 73120
Oklahoma County (405) 835-6757

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Love Grow Live Center, Inc's NPI number?

The NPI number for Love Grow Live Center, Inc is 1295421709. It was assigned to this organization in the NPPES registry on April 17, 2023.

Where is Love Grow Live Center, Inc located?

Love Grow Live Center, Inc is located at 12000 N Virginia Ave, Oklahoma City, OK 73120. The listed phone number is (405) 315-9790.

What is Love Grow Live Center, Inc's specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

When was this NPI record last updated?

The NPPES record for Love Grow Live Center, Inc was last updated on April 17, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.