Life In Balance Stl
Clinic/Center, Adult Mental Health in Webster Groves, MO. Organization (NPI-2).
NPI number1215768486
StatusActive
Last updated in NPPESAug 9, 2024
Details
- NPI
- 1215768486
- Entity type
- Organization (NPI-2)
- Legal business name
- Life In Balance Stl
- Organization subpart
- No
- Enumeration date
- Aug 9, 2024
- Certification date
- Aug 9, 2024
- Last updated
- Aug 9, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QM0850X | Clinic/Center, Adult Mental Health | – | – | Yes |
Practice location
8780 Big Bend Blvd Ste BWebster Groves, MO 63119-3774
Phone 314-472-8180
Mailing address
320 W Glendale RdSaint Louis, MO 63119-4057
Authorized official
Amanda Samuels
Owner
3144823450
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