| R8:28 | |
|
4068 Maffitt St. Louis MO 63113 | |
| (314) 368-5996 | |
| Not Available |
| Full Name | R8:28 |
|---|---|
| Speciality | Counselor - Professional |
| Location | 4068 Maffitt, St. Louis, Missouri |
| Authorized Official Name and Position | Melissa Lauren Webb (FOUNDER AND OWNER) |
| Authorized Official Contact | 3143685996 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| R8:28 1147 Appleseed Lane Apt A Olivette MO 63132 Ph: (314) 368-5996 | R8:28 4068 Maffitt St. Louis MO 63113 Ph: (314) 368-5996 |
| NPI Number | 1760968093 |
|---|---|
| Provider Enumeration Date | 07/19/2018 |
| Last Update Date | 07/19/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760968093 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 2015006074 (Missouri) | Primary |
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