Organization
KELSEY BALABAN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KELSEY BALABAN LCSW (THERAPIST / OWNER)
(512) 903-6471
Entity
Organization
Contact information
Practice address
813 W 11TH ST STE A, AUSTIN, TX 78701-2058
(512) 903-6471
Mailing address
5106 N LAMAR BLVD APT 130, AUSTIN, TX 78751-2304
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
01/27/2020
Last updated
01/27/2020
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