Healthcare Provider Details
I. General information
NPI: 1508794538
Provider Name (Legal Business Name): EIGHT DIMENSIONS WELLNESS CENTER (THE DBA OF BUILDING THE ROAD HOME)
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 05/11/2026
Last Update Date: 05/11/2026
Certification Date: 05/11/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
258 S FLORISSANT RD
FERGUSON MO
63135-2736
US
IV. Provider business mailing address
258 S FLORISSANT RD
FERGUSON MO
63135-2736
US
V. Phone/Fax
- Phone: 314-380-3135
- Fax:
- Phone: 314-380-3135
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 1041C0700X |
| Taxonomy | Clinical Social Worker |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
MICHELLE
ECHOLS
Title or Position: FOUNDER/CEO
Credential: DSW, LCSW, CADC
Phone: 314-380-3135