MEDICARE: TASTE OF SUCCESS COACHING

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	171400000X	Health & Wellness Coach

General Provider Information

NPI Number	:	1659212850
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TASTE OF SUCCESS COACHING

Provider Business Mailing Address
First Line	:	8332 CORNELL AVE
Second Line	:
City	:	SAINT LOUIS
State	:	MO
Zip	:	63132-5026
Country	:	US
Telephone Number	:	314-623-2226
Fax Number	:

Provider Business Practice Location Address
First Line	:	8332 CORNELL AVE
Second Line	:
City	:	SAINT LOUIS
State	:	MO
Zip	:	63132-5026
Country	:	US
Telephone Number	:	314-623-2226
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT / OWNER
Name	:	LARRY A JONES
Credential	:
Telephone Number	:	314-623-2226

Provider Enumeration Date	:	04/02/2026
Last Update Date	:	04/02/2026

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Directions to “TASTE OF SUCCESS COACHING ” Practice Location

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