| Diversified Health And Wellness | |
|
11042 Manchester Rd Kirkwood MO 63122-1244 | |
| (844) 462-3492 | |
| (314) 596-4559 |
| Full Name | Diversified Health And Wellness |
|---|---|
| Speciality | Public Health Or Welfare |
| Location | 11042 Manchester Rd, Kirkwood, Missouri |
| Authorized Official Name and Position | Marsha Yost Bradford (OWNER) |
| Authorized Official Contact | 3146984266 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Diversified Health And Wellness 11042 Manchester Rd Kirkwood MO 63122-1244 Ph: (844) 462-3492 | Diversified Health And Wellness 11042 Manchester Rd Kirkwood MO 63122-1244 Ph: (844) 462-3492 |
| NPI Number | 1962976084 |
|---|---|
| Provider Enumeration Date | 01/12/2019 |
| Last Update Date | 01/22/2025 |
| Certification Date | 01/22/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962976084 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 251K00000X | Public Health Or Welfare | (* (Not Available)) | Primary |
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