Lifemend Llc | |
134 Enchanted Pkwy Manchester MO 63021-5495 | |
(636) 686-0597 | |
(484) 694-3587 |
Full Name | Lifemend Llc |
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Speciality | Marriage & Family Therapist |
Location | 134 Enchanted Pkwy, Manchester, Missouri |
Authorized Official Name and Position | Karen S Kline (MANAGER) |
Authorized Official Contact | 6366860597 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Lifemend Llc Po Box 832 Ballwin MO 63011-1132 Ph: (484) 686-0597 | Lifemend Llc 134 Enchanted Pkwy Manchester MO 63021-5495 Ph: (636) 686-0597 |
NPI Number | 1497180921 |
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Provider Enumeration Date | 09/03/2013 |
Last Update Date | 09/03/2013 |
Identifier | Type | State | Issuer |
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1497180921 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
106H00000X | Marriage & Family Therapist | (* (Not Available)) | Primary |
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