| Equal Shares Parenting, Llc | |
|
10313 Corbeil Dr. Unit D St. Louis MO 63146 | |
| (314) 594-7290 | |
| Not Available |
| Full Name | Equal Shares Parenting, Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 10313 Corbeil Dr., St. Louis, Missouri |
| Authorized Official Name and Position | Trecia K. Davis (CEO/FOUNDER) |
| Authorized Official Contact | 3143054393 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Equal Shares Parenting, Llc 10313 Corbeil Dr. Unit D St. Louis MO 63146 Ph: (314) 594-7290 | Equal Shares Parenting, Llc 10313 Corbeil Dr. Unit D St. Louis MO 63146 Ph: (314) 594-7290 |
| NPI Number | 1043702897 |
|---|---|
| Provider Enumeration Date | 06/06/2018 |
| Last Update Date | 06/06/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043702897 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | (* (Not Available)) | Secondary |
| 1041C0700X | Social Worker - Clinical | 2017011985 (Missouri) | Primary |
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