Healthcare Provider Details
I. General information
NPI: 1992445944
Provider Name (Legal Business Name): COMFORT CONSULTING, LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 03/29/2022
Last Update Date: 03/29/2022
Certification Date: 03/29/2022
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1000 EDGEWATER PT STE 401
LAKE ST LOUIS MO
63367-2954
US
IV. Provider business mailing address
71 MADEIRA CT
SAINT CHARLES MO
63304-1416
US
V. Phone/Fax
- Phone: 636-442-2612
- Fax: 636-265-2905
- Phone: 314-413-6612
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 261QM0850X |
| Taxonomy | Adult Mental Health Clinic/Center |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
DONA
RENEE
SCHAEFER
Title or Position: OWNER
Credential: MA, LPC, PHD
Phone: 314-413-6612