Healthcare Provider Details
I. General information
NPI: 1427969195
Provider Name (Legal Business Name): WILDFLOWER COUNSELING AND COACHING, LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 09/14/2026
Last Update Date: 09/14/2026
Certification Date: 09/10/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
3601 SAN SIMEON COMMERCE DR SUITE 2
ARNOLD MO
63010
US
IV. Provider business mailing address
3601 SAN SIMEON COMMERCE DR SUITE 2
ARNOLD MO
63010
US
V. Phone/Fax
- Phone: 314-420-3000
- Fax:
- Phone: 314-420-3000
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 101YM0800X |
| Taxonomy | Mental Health Counselor |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
ABIGAIL
REITZEL
Title or Position: OWNER, LPC
Credential:
Phone: 314-420-3000