Healthcare Provider Details
I. General information
NPI: 1508791641
Provider Name (Legal Business Name): TURN ON THE LIGHT COUNSELING SERVICES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 06/17/2026
Last Update Date: 06/17/2026
Certification Date: 06/17/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1360 S 5TH ST STE 394
SAINT CHARLES MO
63301-2459
US
IV. Provider business mailing address
512 HAWTHORN AVE
SAINT CHARLES MO
63301-1407
US
V. Phone/Fax
- Phone: 314-246-0761
- Fax:
- Phone: 314-650-8378
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 101YM0800X |
| Taxonomy | Mental Health Counselor |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
AMANDA
JEAN
EVANS
Title or Position: OWNER/THERAPIST
Credential: LPC
Phone: 314-246-0761