Provider Demographics
NPI:1073998613
Name:LIFE WITHOUT ANXIETY LLC
Entity Type:Organization
Organization Name:LIFE WITHOUT ANXIETY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ANXIETY SPECIALIST
Authorized Official - Prefix:
Authorized Official - First Name:ELISABETH
Authorized Official - Middle Name:
Authorized Official - Last Name:BRAWLEY
Authorized Official - Suffix:
Authorized Official - Credentials:MA, PLPC
Authorized Official - Phone:314-467-0540
Mailing Address - Street 1:111 PROSPECT AVE
Mailing Address - Street 2:SUITE 203A
Mailing Address - City:KIRKWOOD
Mailing Address - State:MO
Mailing Address - Zip Code:63122-6052
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:20 COACHMAN LN
Practice Address - Street 2:
Practice Address - City:VILLA RIDGE
Practice Address - State:MO
Practice Address - Zip Code:63089-1901
Practice Address - Country:US
Practice Address - Phone:314-467-0540
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-07-24
Last Update Date:2015-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health