Healthcare Provider Details

I. General information

NPI: 1649888272
Provider Name (Legal Business Name): THINKWELL COUNSELING LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/20/2020
Last Update Date: 07/20/2020
Certification Date: 07/20/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

745 CRAIG RD STE 308
CREVE COEUR MO
63141-7122
US

IV. Provider business mailing address

1869 WALNUTWAY DR
SAINT LOUIS MO
63146-3631
US

V. Phone/Fax

Practice location:
  • Phone: 314-328-5701
  • Fax:
Mailing address:
  • Phone: 314-660-1365
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State

VIII. Authorized Official

Name: MRS. LORI COX-BUDAY
Title or Position: OWNER
Credential: LPC
Phone: 314-328-5701