| Wellness Alley, Llc | |
|
7700 Clayton Rd Ste 319 Richmond Heights MO 63117-1347 | |
| (314) 899-7140 | |
| Not Available |
| Full Name | Wellness Alley, Llc |
|---|---|
| Speciality | Social Worker |
| Location | 7700 Clayton Rd Ste 319, Richmond Heights, Missouri |
| Authorized Official Name and Position | Allison White (OWNER/THERAPIST) |
| Authorized Official Contact | 3146021854 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Wellness Alley, Llc 7256 Stanford Ave Saint Louis MO 63130-3029 Ph: () - | Wellness Alley, Llc 7700 Clayton Rd Ste 319 Richmond Heights MO 63117-1347 Ph: (314) 899-7140 |
| NPI Number | 1598122459 |
|---|---|
| Provider Enumeration Date | 01/24/2016 |
| Last Update Date | 01/24/2016 |
| Medicare PECOS PAC ID | 9638460967 |
|---|---|
| Medicare Enrollment ID | O20160616002069 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598122459 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 002439 (Missouri) | Primary |
| Provider Name | Allison E White |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1205840220 PECOS PAC ID: 2264723592 Enrollment ID: I20160616002139 |
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