Healthcare Provider Details

I. General information

NPI: 1992622435
Provider Name (Legal Business Name): RHEMA LOGOS COUNSELING, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/06/2026
Last Update Date: 07/06/2026
Certification Date: 07/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2537 S BIG BEND BLVD
MAPLEWOOD MO
63143-2105
US

IV. Provider business mailing address

2537 S BIG BEND BLVD
MAPLEWOOD MO
63143-2105
US

V. Phone/Fax

Practice location:
  • Phone: 314-881-8635
  • Fax:
Mailing address:
  • Phone: 314-881-8635
  • 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: CARIDAD C BAEZ-WILLIAMSON
Title or Position: OWNER/MANAGING MEMBER
Credential:
Phone: 314-881-8635