| Open Arms Wellness Llc | |
|
Baur Executive Suites 10880 Baur Blvd. Saint Louis MO 63132 | |
| (314) 329-4326 | |
| Not Available |
| Full Name | Open Arms Wellness Llc |
|---|---|
| Speciality | Counselor |
| Location | Baur Executive Suites, Saint Louis, Missouri |
| Authorized Official Name and Position | Jessica H Rosenberg (OWNER) |
| Authorized Official Contact | 3143294326 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Open Arms Wellness Llc Jessica Rosenberg 817 Berry Hill Dr. Saint Louis MO 63132 Ph: (314) 920-0569 | Open Arms Wellness Llc Baur Executive Suites 10880 Baur Blvd. Saint Louis MO 63132 Ph: (314) 329-4326 |
| NPI Number | 1033710751 |
|---|---|
| Provider Enumeration Date | 11/09/2020 |
| Last Update Date | 02/11/2022 |
| Certification Date | 02/11/2022 |
| Medicare PECOS PAC ID | 5799170486 |
|---|---|
| Medicare Enrollment ID | O20220316000320 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033710751 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Provider Name | Nanci Miller |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1013106012 PECOS PAC ID: 2466694450 Enrollment ID: I20130802000870 |
| Provider Name | Kristin B Bulin |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1093269938 PECOS PAC ID: 4082900840 Enrollment ID: I20160906001164 |
| Provider Name | Jacob David Perkins |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1376995167 PECOS PAC ID: 0749688398 Enrollment ID: I20211012001627 |
| Provider Name | Veronica West |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1427399278 PECOS PAC ID: 9032505441 Enrollment ID: I20220412002663 |
| Provider Name | Melissa Ann Timmermann |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1811673338 PECOS PAC ID: 8820444664 Enrollment ID: I20231030003280 |
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