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
3722 CANDLEWYCK CLUB DR APT D, FLORISSANT, MO 63034-2585
(314) 292-9142
Mailing address
3722 CANDLEWYCK CLUB DR APT D, FLORISSANT, MO 63034-2585
(314) 616-8919
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
490020305
—
MO
Enumeration date
03/03/2022
Last updated
03/03/2022
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