| Image Changed Counseling And Consultation Llc | |
|
225 S Meramec Ave Ste 218 Clayton MO 63105-3511 | |
| (314) 323-0463 | |
| Not Available |
| Full Name | Image Changed Counseling And Consultation Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 225 S Meramec Ave, Clayton, Missouri |
| Authorized Official Name and Position | Tia Jenice Morris (OWNER/THERAPIST) |
| Authorized Official Contact | 3143230463 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Image Changed Counseling And Consultation Llc 225 S Meramec Ave Ste 218 Clayton MO 63105-3511 Ph: (314) 323-0463 | Image Changed Counseling And Consultation Llc 225 S Meramec Ave Ste 218 Clayton MO 63105-3511 Ph: (314) 323-0463 |
| NPI Number | 1508144395 |
|---|---|
| Provider Enumeration Date | 07/27/2011 |
| Last Update Date | 07/28/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508144395 | NPI | - | NPPES |
| 1245532894 | Medicaid | MO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 2010036934 (Missouri) | Primary |
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