| Conscious Choices Corporation | |
|
8000 Bonhomme Ave Ste 413 Clayton MO 63105-3515 | |
| (314) 802-8796 | |
| (314) 797-8006 |
| Full Name | Conscious Choices Corporation |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 8000 Bonhomme Ave Ste 413, Clayton, Missouri |
| Authorized Official Name and Position | Roberta Ann Moore (PRESIDENT/CEO) |
| Authorized Official Contact | 3148028796 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Conscious Choices Corporation 8000 Bonhomme Ave Ste 413 Clayton MO 63105-3515 Ph: (314) 802-8796 | Conscious Choices Corporation 8000 Bonhomme Ave Ste 413 Clayton MO 63105-3515 Ph: (314) 802-8796 |
| NPI Number | 1720574817 |
|---|---|
| Provider Enumeration Date | 07/02/2018 |
| Last Update Date | 07/02/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720574817 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | 2012036889 (Missouri) | Primary |
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