Organization
BALM THERAPEUTIC SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ERIKA WARE LPC (OWNER)
(314) 292-9142
Entity
Organization
Contact information
Practice address
111 CHURCH ST., SUITE 103, FERGUSON, MO 63135
(314) 292-9142
(314) 480-7059
Mailing address
3722 CANDLEWYCK CLUB DR APT D, FLORISSANT, MO 63034-2585
(314) 616-8919
(314) 480-7059
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
490020305
—
MO
Enumeration date
02/12/2021
Last updated
12/20/2021
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