DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: BACK TO LIFE PLLC

MEDICARE: BACK TO LIFE PLLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YP2500XProfessional Counselor
21041C0700XClinical Social Worker

General Provider Information

NPI Number : 1508714346
Entity Type Code : Organization
Provider Name (Legal Business Name) : BACK TO LIFE PLLC
Provider Business Mailing Address
First Line : 701 TILLERY ST STE 12
Second Line :
City : AUSTIN
State : TX
Zip : 78702-3751
Country : US
Telephone Number : 713-941-9777
Fax Number :
Provider Business Practice Location Address
First Line : 701 TILLERY ST STE 12
Second Line :
City : AUSTIN
State : TX
Zip : 78702-3751
Country : US
Telephone Number : 713-941-9777
Fax Number :
Authorized Official
Title or Position : OWNER/PSYCHOTHERAPIST
Name : JALISA GILES
Credential : LCSW
Telephone Number : 713-941-9777
Provider Enumeration Date : 03/18/2026
Last Update Date : 03/18/2026

Similar Medicare Providers

1740840438 — MS. COURTNEY FOWLER LPC, LCDC, CRC
Practice Location Address:
701 TILLERY ST STE 12
AUSTIN, TX
78702-3751
Practice Phone: 512-703-0756
Practice Fax:
1972143170 — BRITTANY NEECE AND ASSOICATES LLC
Practice Location Address:
701 TILLERY ST STE 12
AUSTIN, TX
78702-3751
Practice Phone: 812-319-6265
Practice Fax:
1194344713 — SNOOZE LABORATORIES, INC
Practice Location Address:
701 TILLERY ST STE 12
AUSTIN, TX
78702-3751
Practice Phone: 510-996-2688
Practice Fax:
1598387813 — ARMMOR LLC
Practice Location Address:
701 TILLERY ST STE 12
AUSTIN, TX
78702-3751
Practice Phone: 512-213-0110
Practice Fax:
1669086328 — JASON METCALFE RPSGT
Practice Location Address:
701 TILLERY ST STE 12
AUSTIN, TX
78702-3751
Practice Phone: 510-996-2688
Practice Fax:
1780349456 — CHRISTY JEAN LOPEZ
Practice Location Address:
701 TILLERY ST STE 12
AUSTIN, TX
78702-3751
Practice Phone: 877-711-6559
Practice Fax:

Directions to “BACK TO LIFE PLLC ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.