Organization
LIFE WELL BALANCED LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SARA ANN CARTER LCSW (OWNER)
(636) 443-3704
Entity
Organization
Contact information
Practice address
103 LINCOLN ST, O FALLON, MO 63366-1603
(636) 443-3704
(636) 294-0530
Mailing address
30 OAK VALLEY DR, SAINT PETERS, MO 63376-3721
(636) 443-3704
(636) 294-0530
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2013045632
MO
Other
Enumeration date
04/11/2018
Last updated
04/11/2018
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