| Breaking Stigmas Healing Center Llc | |
|
725 Kingland Ave Suite 100 #5 University MO 63130 | |
| (314) 593-0188 | |
| Not Available |
| Full Name | Breaking Stigmas Healing Center Llc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 725 Kingland Ave, University, Missouri |
| Authorized Official Name and Position | Jamese A'rea Walton (OWNER/ THERAPIST) |
| Authorized Official Contact | 3145930188 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Breaking Stigmas Healing Center Llc 725 Kingland Ave Suite 100 #5 University MO 63130 Ph: (314) 593-0188 | Breaking Stigmas Healing Center Llc 725 Kingland Ave Suite 100 #5 University MO 63130 Ph: (314) 593-0188 |
| NPI Number | 1396435947 |
|---|---|
| Provider Enumeration Date | 05/08/2023 |
| Last Update Date | 05/08/2023 |
| Certification Date | 03/08/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396435947 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |