| Theresa Wiss Lcsw Llc | |
|
7200 Manchester Rd Maplewood MO 63143-2403 | |
| (860) 324-3581 | |
| Not Available |
| Full Name | Theresa Wiss Lcsw Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 7200 Manchester Rd, Maplewood, Missouri |
| Authorized Official Name and Position | Theresa Wiss (OWNER/LCSW) |
| Authorized Official Contact | 8603243581 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Theresa Wiss Lcsw Llc 6925 Columbia Ave University City MO 63130-3127 Ph: (860) 324-3581 | Theresa Wiss Lcsw Llc 7200 Manchester Rd Maplewood MO 63143-2403 Ph: (860) 324-3581 |
| NPI Number | 1578498960 |
|---|---|
| Provider Enumeration Date | 06/16/2026 |
| Last Update Date | 06/25/2026 |
| Certification Date | 06/25/2026 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578498960 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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