Life Balance, PLLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

LIFE BALANCE, PLLC

Practice address

2950 Cullen Blvd
Pearland, TX 77584-3921

Phone

(832) 905-9211

Fax

(281) 783-2699

NPI assigned

Jan 10, 2023

Last updated

Jan 10, 2023By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Brittany LewisNPI 1568061992

Title

Clinical Director

Phone

(832) 232-8898

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Interoperability endpoints

• Direct secure messaging: blewis@elliementalhealth.com

Practitioners 20

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Brittany Lewis, MED, LPC

  • Professional Counselor
  • Houston, TX
  • NPI 1568061992
  Medicare reassignment NPD Authorized official
• Jordan Elizabeth Green, LCSW

  • Clinical Social Worker
  • Pearland, TX
  • NPI 1538845755
  Medicare reassignment NPD
• Pei CHI Liao, MA, LMFT

  • Marriage & Family Therapist
  • Pearland, TX
  • NPI 1669167565
  Medicare reassignment NPD
• Brundha Balaraman, M.D.

  • Dermatology Physician
  • Sugar Land, TX
  • NPI 1437461258
  NPD
• Haider K Bangash, M.D.

  • Dermatology Physician
  • Houston, TX
  • NPI 1851658694
  NPD
• Chandni Shailesh Bhakta, PA-C

  • Physician Assistant
  • Pearland, TX
  • NPI 1316372824
  NPD
• Audra L Clos, MD

  • Dermatology Physician
  • Jersey Village, TX
  • NPI 1952601122
  NPD
• Abigail Adanneya Dyboh

  • Mental Health Counselor
  • Pearland, TX
  • NPI 1467270553
  NPD
• Jennifer T Hau, M.D.

  • MOHS-Micrographic Surgery Physician
  • Sugar Land, TX
  • NPI 1740535707
  NPD
• Virginia Marx, NP-C

  • Nurse Practitioner
  • Houston, TX
  • NPI 1851665806
  NPD
• Alexander Marzuka, M.D.

  • Dermatology Physician
  • Webster, TX
  • NPI 1447661939
  NPD
• Jennifer Rincon

  • Marriage & Family Therapist
  • Pearland, TX
  • NPI 1033423892
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1673308800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1673308800000",
    "number": "1154035509",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4974 CREEK BEND DR",
            "city": "PEARLAND",
            "state": "TX",
            "postal_code": "775842132",
            "telephone_number": "832-232-8898"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2950 CULLEN BLVD",
            "city": "PEARLAND",
            "state": "TX",
            "postal_code": "775843921",
            "telephone_number": "832-905-9211",
            "fax_number": "281-783-2699"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFE BALANCE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-10",
        "last_updated": "2023-01-10",
        "certification_date": "2023-01-10",
        "status": "A",
        "authorized_official_last_name": "LEWIS",
        "authorized_official_first_name": "BRITTANY",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "832-232-8898"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "blewis@elliementalhealth.com",
            "affiliation": "N",
            "address_1": "2950 Cullen Blvd",
            "city": "Pearland",
            "state": "TX",
            "country_code": "US",
            "postal_code": "775843921",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Mental Health Counselor in Pearland, TX
• Providers in Pearland, TX by specialty
• Mental Health Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.