Organization · NPI-2
A Balanced Life Atx, PLLC
Psychologist, Clinical · Austin, TX
NPI number1184285140
StatusActive
Last updated in NPPESJun 4, 2026
Details
- NPI
- 1184285140
- Entity type
- Organization (NPI-2)
- Legal business name
- A Balanced Life Atx, PLLC
- Organization subpart
- No
- Enumeration date
- Jun 21, 2019
- Certification date
- Jun 4, 2026
- Last updated
- Jun 4, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103TC0700X | Psychologist, Clinical | – | – | Yes |
Practice location
4131 Spicewood Springs Rd Ste C7Austin, TX 78759-8658
Phone 512-745-1779
Mailing address
4131 Spicewood Springs Rd Ste C7Austin, TX 78759-8658
Phone 512-745-1779
Authorized official
Colleen Sevilla
Managing Member
5127451779
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