Kelsey Balaban
Community/Behavioral Health in Austin, TX. Organization (NPI-2).
NPI number1962033258
StatusActive
Last updated in NPPESJan 27, 2020
Details
- NPI
- 1962033258
- Entity type
- Organization (NPI-2)
- Legal business name
- Kelsey Balaban
- Organization subpart
- No
- Enumeration date
- Jan 27, 2020
- Certification date
- Jan 27, 2020
- Last updated
- Jan 27, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 251S00000X | Community/Behavioral Health | – | – | Yes |
Practice location
813 W 11th St Ste AAustin, TX 78701-2058
Phone 512-903-6471
Mailing address
5106 N Lamar Blvd Apt 130Austin, TX 78751-2304
Authorized official
Kelsey Balaban
Therapist / Owner
5129036471
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