| Transport Therapy | |
|
340 Meadow Grove Ct Saint Peters MO 63304-6782 | |
| (636) 346-7826 | |
| (636) 332-0776 |
| Full Name | Transport Therapy |
|---|---|
| Speciality | Counselor |
| Location | 340 Meadow Grove Ct, Saint Peters, Missouri |
| Authorized Official Name and Position | Justin Tomicich (OWNER/ PROVIDER) |
| Authorized Official Contact | 6363467826 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Transport Therapy 106 Country Trace Ct Saint Peters MO 63304-2815 Ph: (636) 346-7826 | Transport Therapy 340 Meadow Grove Ct Saint Peters MO 63304-6782 Ph: (636) 346-7826 |
| NPI Number | 1790669588 |
|---|---|
| Provider Enumeration Date | 08/04/2025 |
| Last Update Date | 08/29/2025 |
| Certification Date | 08/29/2025 |
| Medicare PECOS PAC ID | 3678070638 |
|---|---|
| Medicare Enrollment ID | O20251007003302 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790669588 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | () | Primary |
| Provider Name | Justin Michael Tomicich |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1306130950 PECOS PAC ID: 7719484674 Enrollment ID: I20251007003532 |
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