| Back To Life Pllc | |
|
701 Tillery St Ste 12 Austin TX 78702-3751 | |
| (713) 941-9777 | |
| Not Available |
| Full Name | Back To Life Pllc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 701 Tillery St Ste 12, Austin, Texas |
| Authorized Official Name and Position | Jalisa Giles (OWNER/PSYCHOTHERAPIST) |
| Authorized Official Contact | 5122709622 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Back To Life Pllc 701 Tillery St Ste 12 Austin TX 78702-3751 Ph: (512) 270-9622 | Back To Life Pllc 701 Tillery St Ste 12 Austin TX 78702-3751 Ph: (713) 941-9777 |
| NPI Number | 1508714346 |
|---|---|
| Provider Enumeration Date | 03/18/2026 |
| Last Update Date | 04/10/2026 |
| Certification Date | 04/10/2026 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508714346 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Secondary |
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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