| Authentic Life Counseling Llc | |
|
308 Highgrove Place Dr O Fallon MO 63366-4385 | |
| (314) 200-5548 | |
| Not Available |
| Full Name | Authentic Life Counseling Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 308 Highgrove Place Dr, O Fallon, Missouri |
| Authorized Official Name and Position | Julie Bertel (OWNER) |
| Authorized Official Contact | 3142005548 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Authentic Life Counseling Llc 308 Highgrove Place Dr O Fallon MO 63366-4385 Ph: () - | Authentic Life Counseling Llc 308 Highgrove Place Dr O Fallon MO 63366-4385 Ph: (314) 200-5548 |
| NPI Number | 1710664867 |
|---|---|
| Provider Enumeration Date | 06/30/2023 |
| Last Update Date | 06/30/2023 |
| Certification Date | 06/30/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710664867 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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