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Organization

A BALANCED LIFE ATX, PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
COLLEEN SEVILLA PSYD (MANAGING MEMBER)
(512) 745-1779
Entity
Organization

Contact information

Practice address
4601 SPICEWOOD SPRINGS RD STE 3-200, AUSTIN, TX 78759-7841
(512) 745-1779
Mailing address
4601 SPICEWOOD SPRINGS RD STE 3-200, AUSTIN, TX 78759-7841
(512) 745-1779

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary

Other

Enumeration date
06/21/2019
Last updated
02/07/2022
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