| Dochas Center, LLC | |
|
7902 Big Bend Blvd Webster Groves MO 63119-2704 | |
| (314) 260-1934 | |
| Not Available |
| Full Name | Dochas Center, LLC |
|---|---|
| Speciality | Clinic/Center |
| Location | 7902 Big Bend Blvd, Webster Groves, Missouri |
| Authorized Official Name and Position | Shannon C Cooper-sadlo (OWNER) |
| Authorized Official Contact | 3142601934 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Dochas Center, LLC 7501 Murdoch Ave # 1003 Saint Louis MO 63119-2810 Ph: (314) 260-1934 | Dochas Center, LLC 7902 Big Bend Blvd Webster Groves MO 63119-2704 Ph: (314) 260-1934 |
| NPI Number | 1306773551 |
|---|---|
| Provider Enumeration Date | 05/04/2026 |
| Last Update Date | 05/11/2026 |
| Certification Date | 05/11/2026 |
| Medicare PECOS PAC ID | 0840760260 |
|---|---|
| Medicare Enrollment ID | O20260527002759 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306773551 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (NU) | Primary |
| Provider Name | Shannon Cooper-sadlo |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1659485076 PECOS PAC ID: 3577573989 Enrollment ID: I20260527002874 |
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