Organization Active NPI

Balance of Life, LLC

  • Clinical Social Worker
  • Lake St Louis, MO
National Provider Identifier
1861002198
Registry record updated Aug 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
BALANCE OF LIFE, LLC
Practice address
15 Lakeside Dr Ste D
Lake St Louis, MO 63367-1378
Phone
(314) 660-3591
NPI assigned
Aug 2, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 2, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Elizabeth Ann Allen, LCSWNPI 1871629071
Title
Owner/ Therapist
Phone
(131) 466-0359

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

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

Mailing address

1104 Liberty Gardens CT
Florissant, MO 63031-1948
Phone (131) 466-0359

National Provider Directory

National Provider Directory

Locations

15 Lakeside Dr
Ste D
Lake St Louis, MO 63367
Phone (314) 660-3591

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1596326400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1596326400000",
    "number": "1861002198",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1104 LIBERTY GARDENS CT",
            "city": "FLORISSANT",
            "state": "MO",
            "postal_code": "630311948",
            "telephone_number": "131-466-0359"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 LAKESIDE DR STE D",
            "city": "LAKE ST LOUIS",
            "state": "MO",
            "postal_code": "633671378",
            "telephone_number": "314-660-3591"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BALANCE OF LIFE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-02",
        "last_updated": "2020-08-02",
        "certification_date": "2020-08-02",
        "status": "A",
        "authorized_official_last_name": "ALLEN",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "OWNER/ THERAPIST",
        "authorized_official_telephone_number": "131-466-0359",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake St Louis, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.