| Conquer The Change Therapy, Llc | |
|
12747 Olive Blvd Ste 300 Saint Louis MO 63141-6269 | |
| (314) 217-6980 | |
| Not Available |
| Full Name | Conquer The Change Therapy, Llc |
|---|---|
| Speciality | Social Worker |
| Location | 12747 Olive Blvd Ste 300, Saint Louis, Missouri |
| Authorized Official Name and Position | Michelle Perotta (OWNER) |
| Authorized Official Contact | 3144093113 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Conquer The Change Therapy, Llc 12747 Olive Blvd Ste 300 Saint Louis MO 63141-6269 Ph: (314) 217-6980 | Conquer The Change Therapy, Llc 12747 Olive Blvd Ste 300 Saint Louis MO 63141-6269 Ph: (314) 217-6980 |
| NPI Number | 1679301824 |
|---|---|
| Provider Enumeration Date | 07/22/2024 |
| Last Update Date | 07/22/2024 |
| Certification Date | 07/22/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679301824 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 104100000X | Social Worker | (* (Not Available)) | Primary |
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