Organization · NPI-2
Balm Therapeutic Services, LLC
Counselor, Mental Health · Florissant, MO
NPI number1891442463
StatusActive
Last updated in NPPESMar 3, 2022
Details
- NPI
- 1891442463
- Entity type
- Organization (NPI-2)
- Legal business name
- Balm Therapeutic Services, LLC
- Organization subpart
- No
- Enumeration date
- Mar 3, 2022
- Certification date
- Mar 3, 2022
- Last updated
- Mar 3, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YM0800X | Counselor, Mental Health | – | – | Yes |
Practice location
3722 Candlewyck Club Dr Apt DFlorissant, MO 63034-2585
Phone 314-292-9142
Mailing address
3722 Candlewyck Club Dr Apt DFlorissant, MO 63034-2585
Phone 314-616-8919
Authorized official
Erika Ware
Owner
3142929142
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