| Life Balance, Pllc | |
|
2950 Cullen Blvd Pearland TX 77584-3921 | |
| (832) 905-9211 | |
| (281) 783-2699 |
| Full Name | Life Balance, Pllc |
|---|---|
| Speciality | Counselor |
| Location | 2950 Cullen Blvd, Pearland, Texas |
| Authorized Official Name and Position | Brittany Lewis (CLINICAL DIRECTOR) |
| Authorized Official Contact | 8322328898 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Life Balance, Pllc 4974 Creek Bend Dr Pearland TX 77584-2132 Ph: (832) 232-8898 | Life Balance, Pllc 2950 Cullen Blvd Pearland TX 77584-3921 Ph: (832) 905-9211 |
| NPI Number | 1154035509 |
|---|---|
| Provider Enumeration Date | 01/10/2023 |
| Last Update Date | 01/10/2023 |
| Certification Date | 01/10/2023 |
| Medicare PECOS PAC ID | 7214382563 |
|---|---|
| Medicare Enrollment ID | O20231006001549 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154035509 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Provider Name | Jordan Elizabeth Green |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1538845755 PECOS PAC ID: 5991150906 Enrollment ID: I20231011002825 |
| Provider Name | Brittany Lewis |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1568061992 PECOS PAC ID: 0941655294 Enrollment ID: I20240208001615 |
| Provider Name | Maria S Salazar |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1225673981 PECOS PAC ID: 2961849898 Enrollment ID: I20240327000812 |
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