| Balance Of Life, Llc | |
|
15 Lakeside Dr Ste D Lake St Louis MO 63367-1378 | |
| (314) 660-3591 | |
| Not Available |
| Full Name | Balance Of Life, Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 15 Lakeside Dr Ste D, Lake St Louis, Missouri |
| Authorized Official Name and Position | Elizabeth Ann Allen (OWNER/ THERAPIST) |
| Authorized Official Contact | 1314660359 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Balance Of Life, Llc 1104 Liberty Gardens Ct Florissant MO 63031-1948 Ph: (131) 466-0359 | Balance Of Life, Llc 15 Lakeside Dr Ste D Lake St Louis MO 63367-1378 Ph: (314) 660-3591 |
| NPI Number | 1861002198 |
|---|---|
| Provider Enumeration Date | 08/02/2020 |
| Last Update Date | 08/02/2020 |
| Certification Date | 08/02/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861002198 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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