| T.a.v.e.r.n. Health And Wellness, Llc | |
|
11042 Manchester Rd Kirkwood MO 63122-1244 | |
| (314) 385-9550 | |
| Not Available |
| Full Name | T.a.v.e.r.n. Health And Wellness, Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 11042 Manchester Rd, Kirkwood, Missouri |
| Authorized Official Name and Position | Gayla R Gibson (THERAPIST) |
| Authorized Official Contact | 3143859550 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| T.a.v.e.r.n. Health And Wellness, Llc 5517 Albia Terr Jennings MO 63136-1222 Ph: (314) 385-9550 | T.a.v.e.r.n. Health And Wellness, Llc 11042 Manchester Rd Kirkwood MO 63122-1244 Ph: (314) 385-9550 |
| NPI Number | 1811534647 |
|---|---|
| Provider Enumeration Date | 11/27/2019 |
| Last Update Date | 11/27/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811534647 | NPI | - | NPPES |
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