| Embodied Healing Llc | |
|
301 Sovereign Ct Ballwin MO 63011-4441 | |
| (314) 328-9228 | |
| Not Available |
| Full Name | Embodied Healing Llc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 301 Sovereign Ct, Ballwin, Missouri |
| Authorized Official Name and Position | Melissa Koch (OWNER/COUNSELOR) |
| Authorized Official Contact | 3143289228 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Embodied Healing Llc 11147 Golf Crest Dr Saint Louis MO 63126-3447 Ph: (314) 566-9168 | Embodied Healing Llc 301 Sovereign Ct Ballwin MO 63011-4441 Ph: (314) 328-9228 |
| NPI Number | 1962020594 |
|---|---|
| Provider Enumeration Date | 07/09/2020 |
| Last Update Date | 07/09/2020 |
| Certification Date | 07/09/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962020594 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
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