| Kelsey Balaban | |
|
813 W 11th St Ste A Austin TX 78701-2058 | |
| (512) 903-6471 | |
| Not Available |
| Full Name | Kelsey Balaban |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 813 W 11th St Ste A, Austin, Texas |
| Authorized Official Name and Position | Kelsey Balaban (THERAPIST / OWNER) |
| Authorized Official Contact | 5129036471 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kelsey Balaban 5106 N Lamar Blvd Apt 130 Austin TX 78751-2304 Ph: () - | Kelsey Balaban 813 W 11th St Ste A Austin TX 78701-2058 Ph: (512) 903-6471 |
| NPI Number | 1962033258 |
|---|---|
| Provider Enumeration Date | 01/27/2020 |
| Last Update Date | 01/27/2020 |
| Certification Date | 01/27/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962033258 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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