| Flourishing Well Counseling, Llc | |
|
745 Craig Rd Ste 104 Creve Coeur MO 63141-7122 | |
| (314) 606-1265 | |
| (314) 480-7095 |
| Full Name | Flourishing Well Counseling, Llc |
|---|---|
| Speciality | Social Worker |
| Location | 745 Craig Rd Ste 104, Creve Coeur, Missouri |
| Authorized Official Name and Position | Susan Stevenson Moore (OWNER) |
| Authorized Official Contact | 3146061265 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Flourishing Well Counseling, Llc 3604 Silver Ridge Dr Saint Peters MO 63376-6839 Ph: (314) 606-1265 | Flourishing Well Counseling, Llc 745 Craig Rd Ste 104 Creve Coeur MO 63141-7122 Ph: (314) 606-1265 |
| NPI Number | 1356015861 |
|---|---|
| Provider Enumeration Date | 08/06/2021 |
| Last Update Date | 08/06/2021 |
| Certification Date | 08/06/2021 |
| Medicare PECOS PAC ID | 7618368770 |
|---|---|
| Medicare Enrollment ID | O20211228000164 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356015861 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Susan E Stevenson Moore |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1831172436 PECOS PAC ID: 2264321843 Enrollment ID: I20040311001449 |
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