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A BALANCED LIFE WELLNESS CLINIC AND APOTHECARY, LLC
NPI 1629478037
Nutritionist in Reston, VA

Active since September 04, 2014
1818 LIBRARY ST, STE 500, RESTON, VA 20190(301) 602-1518 Get Directions Write a Review

NPPES record last updated: September 4, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About A Balanced Life Wellness Clinic And Apothecary, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

A BALANCED LIFE WELLNESS CLINIC AND APOTHECARY, LLC (NPI 1629478037) is a healthcare organization registered as a nutritionist in Reston, Virginia and active in the NPI registry since September 2014. The organization lists Betsy Costilo, President, as its authorized official.

NPPES Registry Identity

NPI1629478037
Entity TypeOrganization
Primary Taxonomy133N00000X
Legal Business NameA BALANCED LIFE WELLNESS CLINIC AND APOTHECARY, LLC
Location Address1818 LIBRARY ST, STE 500Reston, VA 20190-6242
Mailing Address1818 Library St, Ste 500Reston, VA 20190-6242 · (301) 602-1518
Phone(301) 602-1518
Organization SubpartNo
Authorized OfficialBetsy CostiloPresident · (301) 602-1518
Enumeration DateSeptember 4, 2014
✔ NPI 1629478037 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNutritionistDietary & Nutritional Service Providers
Taxonomy Code133N00000X
Definition
A specialist in adapting and applying food and nutrient knowledge to the solution of food and nutritional problems, the control of disease, and the promotion of health. Nutritionists perform research, instruct groups and individuals about nutritional requirements, and assist people in developing meal patterns that meet their nutritional needs; (2) A nutritionist is someone who has completed undergraduate and/or graduate training in the discipline of nutrition without necessarily meeting the academic and experience requirements to qualify for the Registered Dietitian designation.
1818 LIBRARY ST, Reston, VA 20190
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. AMANDA JANE SUTTON CCC-SLP
Speech-Language Pathologist
1818 LIBRARY ST, SUITE 500
RESTON, VA 20190
Fairfax County (703) 915-0804
BETSY ANNE MILLER MS, CNS, LDN
Nutritionist
1818 LIBRARY ST, SUITE 500
RESTON, VA 20190
Fairfax County (301) 602-1518

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is A Balanced Life Wellness Clinic And Apothecary, LLC's NPI number?

The NPI number for A Balanced Life Wellness Clinic And Apothecary, LLC is 1629478037. It was assigned to this organization in the NPPES registry on September 4, 2014.

Where is A Balanced Life Wellness Clinic And Apothecary, LLC located?

A Balanced Life Wellness Clinic And Apothecary, LLC is located at 1818 Library St Ste 500, Reston, VA 20190. The listed phone number is (301) 602-1518.

What is A Balanced Life Wellness Clinic And Apothecary, LLC's specialty?

The primary specialty registered for this NPI is Nutritionist with taxonomy code 133N00000X.

When was this NPI record last updated?

The NPPES record for A Balanced Life Wellness Clinic And Apothecary, LLC was last updated on September 4, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.