| Etoya R. White Therapy & Coaching Llc | |
|
9666 Olive Blvd Ste 205 Saint Louis MO 63132-3025 | |
| (314) 390-8107 | |
| Not Available |
| Full Name | Etoya R. White Therapy & Coaching Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 9666 Olive Blvd Ste 205, Saint Louis, Missouri |
| Authorized Official Name and Position | Etoya White (OWNER) |
| Authorized Official Contact | 3143908107 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Etoya R. White Therapy & Coaching Llc 9666 Olive Blvd Ste 205 Saint Louis MO 63132-3025 Ph: (314) 390-8107 | Etoya R. White Therapy & Coaching Llc 9666 Olive Blvd Ste 205 Saint Louis MO 63132-3025 Ph: (314) 390-8107 |
| NPI Number | 1013591338 |
|---|---|
| Provider Enumeration Date | 05/12/2021 |
| Last Update Date | 05/12/2021 |
| Certification Date | 05/12/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013591338 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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