| Changes Therapeutics Services | |
|
12 Fee Fee Rd Maryland Heights MO 63043-2729 | |
| (314) 368-8920 | |
| (314) 442-4139 |
| Full Name | Changes Therapeutics Services |
|---|---|
| Speciality | Psychologist |
| Location | 12 Fee Fee Rd, Maryland Heights, Missouri |
| Authorized Official Name and Position | Linda L Peterson (OWNER/THERAPIST) |
| Authorized Official Contact | 3143682409 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Changes Therapeutics Services 523 Sapphire Dr O Fallon MO 63366-1889 Ph: (314) 368-2409 | Changes Therapeutics Services 12 Fee Fee Rd Maryland Heights MO 63043-2729 Ph: (314) 368-8920 |
| NPI Number | 1417510934 |
|---|---|
| Provider Enumeration Date | 04/19/2019 |
| Last Update Date | 09/02/2025 |
| Certification Date | 02/05/2025 |
| Medicare PECOS PAC ID | 4385166867 |
|---|---|
| Medicare Enrollment ID | O20250314000236 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417510934 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TP2701X | Psychologist - Group Psychotherapy | (* (Not Available)) | Primary |
| Provider Name | Linda Peterson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1174848014 PECOS PAC ID: 5890028419 Enrollment ID: I20250317000154 |
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