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LIFESTANCE HEALTH
NPI 1790186385
Psychologist - Clinical in Moore, OK

Active since September 15, 2014CLIA 37D2338867 · Waiver
1105 SW 30TH CT, MOORE, OK 73160(405) 378-2727 Get Directions Write a Review

NPPES record last updated: March 28, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Mar 28, 2023, Jan 31, 2023 (2 updates tracked since 2023).

About Lifestance Health NPPES

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

LIFESTANCE HEALTH (NPI 1790186385) is a healthcare organization registered as a clinical in Moore, Oklahoma and active in the NPI registry since September 2014. The organization holds a CLIA Waiver certificate valid through February 18, 2028, maintains 8 additional practice locations, and lists Ryan Pardo, Chief Legal Officer, as its authorized official.

NPPES Registry Identity

NPI1790186385
Entity TypeOrganization
Primary Taxonomy103TC0700X
Legal Business NameBALANCE WOMEN'S HEALTH, LLC
Location Address1105 SW 30TH CTMoore, OK 73160
Mailing Address1105 Sw 30th CtMoore, OK 73160
Phone(405) 378-2727
Organization SubpartNo
Authorized OfficialRyan PardoChief Legal Officer · (206) 399-1493
Enumeration DateSeptember 15, 2014
Last NPPES UpdateMarch 28, 20232 updates tracked since enumeration
NPPES CertifiedMarch 28, 2023
✔ NPI 1790186385 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License✔ Licensed in OK · 27766
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
1105 SW 30TH CT, Moore, OK 73160
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Other Names 1

Doing Business AsLifestance Health

Secondary Practice Locations 8

Location 11108 SW 30th Ct Ste BMoore, OK 73160-2888 · Phone (405) 378-2727
Location 21109 SW 30th Ct Ste BMoore, OK 73160-2887 · Phone (405) 378-2727
Location 36400 S Lewis Ave Ste 100Tulsa, OK 74136-1088 · Phone (405) 378-2727
Location 49228 S Mingo Rd Ste 101Tulsa, OK 74133-5721 · Phone (405) 378-2727
Location 54013 NW Expressway Ste 105Oklahoma City, OK 73116-2618 · Phone (405) 378-2727
Location 62908 Astoria Way Ste 150Edmond, OK 73034-5997 · Phone (405) 378-2727
Location 72908 Astoria Way Ste 100Edmond, OK 73034-5997 · Phone (405) 378-2727
Location 81113 SW 30th Ct Ste BMoore, OK 73160-2887 · Phone (405) 378-2727

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Oklahoma, Medica.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 37D2338867

Lifestance Health · Moore, OK
Active · expires Feb 18, 2028
CLIA Number37D2338867
Laboratory TypePhysician Office
Certificate Effective DateFebruary 19, 2026
Certificate Expiration DateFebruary 18, 2028
Laboratory DirectorRachel Dalthorp
Laboratory Phone(405) 378-2727
Laboratory LocationLifestance Health1113 SW 30th Ct, Ste B, Moore, OK 73160
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 20

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

CHERI LYN CANTRELL-MCCOY LPC
Counselor (Mental Health)
1105 SW 30TH CT
MOORE, OK 73160
Cleveland County (405) 378-2727
CAROLINE ANNE WHITAKER PMHNP
Nurse Practitioner (Psychiatric/Mental Health)
1105 SW 30TH CT
MOORE, OK 73160
Cleveland County (405) 378-4439
JAMES P. BRUNER MA, LPC
Counselor (Professional)
1105 SW 30TH CT
MOORE, OK 73160
Cleveland County (405) 378-2727
CASSANDRA GENTRY P.A.
Physician Assistant
1105 SW 30TH CT
MOORE, OK 73160
Cleveland County (405) 378-2727
CATHY CATO APRN-CNP, PMHNP
Nurse Practitioner (Psychiatric/Mental Health)
1105 SW 30TH CT
MOORE, OK 73160
Cleveland County (405) 378-2727
DEDRICK K PERKINS LCSW
Social Worker (Clinical)
1105 SW 30TH CT
MOORE, OK 73160
Cleveland County (405) 378-2727
MAGDALINE EPIE APRN, PMHNP-BC
Nurse Practitioner (Psychiatric/Mental Health)
1105 SW 30TH CT
MOORE, OK 73160
Cleveland County (405) 378-2727
KIARA TURNER LPC
Counselor (Professional)
1105 SW 30TH CT
MOORE, OK 73160
Cleveland County (405) 378-2727

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 Balance Women's Health, LLC's NPI number?

The NPI number for Balance Women's Health, LLC is 1790186385. It was assigned to this organization in the NPPES registry on September 15, 2014. The provider is doing business as Lifestance Health.

Where is Balance Women's Health, LLC located?

Balance Women's Health, LLC is located at 1105 SW 30th Ct, Moore, OK 73160. The listed phone number is (405) 378-2727.

What is Balance Women's Health, LLC's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Does Balance Women's Health, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 37D2338867) is associated with this NPI, valid through February 18, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Balance Women's Health, LLC accept?

Health plans from Blue Cross and Blue Shield of Oklahoma and Medica list Balance Women's Health, LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Balance Women's Health, LLC was last updated on March 28, 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.