OrganizationActive
Balance Women'S Health, LLC
NPI 1790186385 · Clinical Psychologist · Moore, OK
Provider details
- NPI number
- 1790186385
- Entity type
- Organization
- Primary specialty
- Clinical PsychologistBehavioral Health & Social Service Providers
- Organization subpart
- No
- Authorized official
- Ryan Pardo, Chief Legal Officer(206) 399-1493
- License
- 27766 (OK)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Detailed profile(84/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
11 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
9 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1105 Sw 30th Ct
Moore, OK 73160
Phone: (405) 378-2727
Approximate (ZIP-level) locationGet directions
Mailing address
1105 Sw 30th Ct
Moore, OK 73160
Other names (DBA / former)
- Doing business as
- Lifestance Health
Additional practice locations (8)
- 2908 Astoria Way Ste 100Edmond, OK 73034-5997Phone: (405) 378-2727
- 2908 Astoria Way Ste 150Edmond, OK 73034-5997Phone: (405) 378-2727
- 1108 Sw 30th Ct Ste BMoore, OK 73160-2888Phone: (405) 378-2727
- 1109 Sw 30th Ct Ste BMoore, OK 73160-2887Phone: (405) 378-2727
- 1113 Sw 30th Ct Ste BMoore, OK 73160-2887Phone: (405) 378-2727
- 4013 Nw Expressway Ste 105Oklahoma City, OK 73116-2618Phone: (405) 378-2727
- 6400 S Lewis Ave Ste 100Tulsa, OK 74136-1088Phone: (405) 378-2727
- 9228 S Mingo Rd Ste 101Tulsa, OK 74133-5721Phone: (405) 378-2727
Registry dates
- Enumerated
- 2014-09-15
- Last updated
- 2023-03-28
- Certified
- 2023-03-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.