Organization
BALANCE OF LIFE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELIZABETH ANN ALLEN LCSW (OWNER/ THERAPIST)
(131) 466-0359
Entity
Organization
Contact information
Practice address
15 LAKESIDE DR STE D, LAKE ST LOUIS, MO 63367-1378
(314) 660-3591
Mailing address
1104 LIBERTY GARDENS CT, FLORISSANT, MO 63031-1948
(131) 466-0359
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
08/02/2020
Last updated
08/02/2020
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