Healthcare Provider Details

I. General information

NPI: 1417885971
Provider Name (Legal Business Name): TWO HEARTS ONE BEAT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/13/2026
Last Update Date: 05/13/2026
Certification Date: 05/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12405 OLD HALLS FERRY RD
BLACK JACK MO
63033-4204
US

IV. Provider business mailing address

3457 CHARLACK AVE
SAINT LOUIS MO
63114-4206
US

V. Phone/Fax

Practice location:
  • Phone: 314-391-9622
  • Fax:
Mailing address:
  • Phone: 314-243-6917
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: TOI ESTERS
Title or Position: CEO, BCBA
Credential: BCBA, LBA
Phone: 314-243-6917