Balance Of Life, Llc

Clinical Social Worker · Lake St Louis, MO

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At a glance

15 Lakeside Dr Ste D, Lake St Louis, MO 63367-1378

NPPES record updated Aug 2, 2020. Public records can lag behind changes at a practice.

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Practice location

15 Lakeside Dr Ste D
Lake St Louis, MO 63367-1378
Professional details: NPI, taxonomy & registry record
NPI1861002198
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Registry details

Primary taxonomy
Clinical Social Worker
Taxonomy code
1041C0700X
Enumeration date
Aug 2, 2020
Record updated
Aug 2, 2020
More registry details
Provider type
Organization · Type 2

Reported taxonomies and licenses

Clinical Social Worker

1041C0700X · Primary

License numbers and credentials are reported to NPPES; HCPList does not independently verify them.

Practice location

15 Lakeside Dr Ste D
Lake St Louis, MO 63367-1378
Phone
(314) 660-3591
Mailing address
1104 LIBERTY GARDENS CT

FLORISSANT, MO 630311948
Source: NPPES Source through Oct 18, 2026An NPI does not verify licensure or credentials.

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