A Balanced Life Wellness Clinic and Apothecary, LLC
NPI 1629478037 · Nutritionist · Reston, VA
A Balanced Life Wellness Clinic and Apothecary, LLC is a Nutritionist organization in Reston, VA (NPI 1629478037).
Provider details
- NPI number
- 1629478037
- Entity type
- Organization
- Primary specialty
- NutritionistDietary & Nutritional Service Providers
- Organization subpart
- No
- Authorized official
- Betsy Costilo, President(301) 602-1518
Specialties & taxonomies
Dietary & Nutritional Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
11 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2014-09-04
- Last updated
- 2014-09-04
Frequently asked questions
- What is A Balanced Life Wellness Clinic and Apothecary, LLC's NPI number?
- A Balanced Life Wellness Clinic and Apothecary, LLC's National Provider Identifier (NPI) is 1629478037, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is A Balanced Life Wellness Clinic and Apothecary, LLC?
- A Balanced Life Wellness Clinic and Apothecary, LLC is classified in the NPPES registry as Nutritionist (Dietary & Nutritional Service Providers).
- Where is A Balanced Life Wellness Clinic and Apothecary, LLC located?
- A Balanced Life Wellness Clinic and Apothecary, LLC's practice location on file with NPPES is 1818 Library St, Reston, VA 20190-6242.
- What is A Balanced Life Wellness Clinic and Apothecary, LLC's phone number?
- The practice phone number listed in the NPPES registry for A Balanced Life Wellness Clinic and Apothecary, LLC is (301) 602-1518.
- Who is the authorized official for A Balanced Life Wellness Clinic and Apothecary, LLC?
- The authorized official listed on A Balanced Life Wellness Clinic and Apothecary, LLC's NPPES record is Betsy Costilo, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is A Balanced Life Wellness Clinic and Apothecary, LLC's NPI active?
- Yes — A Balanced Life Wellness Clinic and Apothecary, LLC's NPI (1629478037) is active in the NPPES registry as of the last update on 2014-09-04.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.