| Hypnotherapy Collaborative, Llc | |
|
8123 January Ave Berkeley MO 63134-1513 | |
| (314) 680-8179 | |
| (314) 524-4145 |
| Full Name | Hypnotherapy Collaborative, Llc |
|---|---|
| Speciality | Counselor |
| Location | 8123 January Ave, Berkeley, Missouri |
| Authorized Official Name and Position | James B. Carroll (COUNSELOR/HYPNOTHERAPIST) |
| Authorized Official Contact | 3146808179 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Hypnotherapy Collaborative, Llc 8123 January Ave Berkeley MO 63134-1513 Ph: (314) 680-8179 | Hypnotherapy Collaborative, Llc 8123 January Ave Berkeley MO 63134-1513 Ph: (314) 680-8179 |
| NPI Number | 1598098691 |
|---|---|
| Provider Enumeration Date | 09/08/2009 |
| Last Update Date | 09/08/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598098691 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | 2007036005 (Missouri) | Primary |
Kathy J. Weinman Shelter Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 4201 Mckibbon Rd, Berkeley, MO 63134 Phone: 314-423-1117 |