| Diverse Ventures, Llc | |
|
69 Bellerive Acres Saint Louis MO 63121-4330 | |
| (314) 389-5007 | |
| (314) 389-6023 |
| Full Name | Diverse Ventures, Llc |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 69 Bellerive Acres, Saint Louis, Missouri |
| Authorized Official Name and Position | Jameca Falconer (CLINICAL PSYCHOLOGIST/OWNER) |
| Authorized Official Contact | 3144952600 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Diverse Ventures, Llc 69 Bellerive Acres Saint Louis MO 63121-4330 Ph: (314) 389-5007 | Diverse Ventures, Llc 69 Bellerive Acres Saint Louis MO 63121-4330 Ph: (314) 389-5007 |
| NPI Number | 1225058001 |
|---|---|
| Provider Enumeration Date | 07/21/2006 |
| Last Update Date | 07/21/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225058001 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 2006006565 (Missouri) | Primary |
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