| Creating Your Journey, Llc | |
|
140 Prospect Ave Ste S Kirkwood MO 63122-6074 | |
| (314) 329-5374 | |
| Not Available |
| Full Name | Creating Your Journey, Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 140 Prospect Ave Ste S, Kirkwood, Missouri |
| Authorized Official Name and Position | Salicia Mazero (OWNER, THERAPIST) |
| Authorized Official Contact | 3142959492 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Creating Your Journey, Llc 140 Prospect Ave Ste S Kirkwood MO 63122-6074 Ph: () - | Creating Your Journey, Llc 140 Prospect Ave Ste S Kirkwood MO 63122-6074 Ph: (314) 329-5374 |
| NPI Number | 1457115909 |
|---|---|
| Provider Enumeration Date | 02/06/2024 |
| Last Update Date | 04/25/2024 |
| Certification Date | 04/25/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457115909 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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