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A Balanced Life Wellness Clinic and Apothecary, LLC

Nutritionist in Reston, VA · enumerated 2014 · authorized official Betsy Costilo, President.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1629478037

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Registry record

Entity type Organization (Type 2)
Legal business name A Balanced Life Wellness Clinic and Apothecary, LLC
Practice address 1818 Library St, Ste 500, Reston, VA, 20190
Phone (301) 602-1518
Enumeration date Sep 4, 2014
Last updated in NPPES Sep 4, 2014

Taxonomy & classification

133N00000X Nutritionist Dietary & Nutritional Service Providers Primary

Authorized official

Name Betsy Costilo
Title President
Phone (301) 602-1518

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What type of organization is A Balanced Life Wellness Clinic and Apothecary, LLC?
A Balanced Life Wellness Clinic and Apothecary, LLC is registered in NPPES as a Nutritionist (its primary provider taxonomy).
What is a Type 2 NPI?
A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2014-09-04.