A Balanced Life Wellness Clinic and Apothecary, LLC
NPI 1629478037ActiveOrganization· Nutritionist· Reston, VA
Nutritionist in Reston, Virginia, registered in NPPES in September 2014. The authorized official on file is Betsy Costilo, President.
Overview
| NPI | 1629478037 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Sep 4, 2014 |
| Last updated in NPPES | Sep 4, 2014 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nutritionist Primary | 133N00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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