| NPI | 1578454765 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | MACKENZIE LESTER Owner 314-477-6105 | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 1041C0700X Social Worker, Clinical | 
| Additional Taxonomies | 101YM0800X Counselor, Mental Health | 
| Enumeration Date | 2025-07-14 | 
| Last Update Date | 2025-07-14 |