Healthcare Provider Details

I. General information

NPI: 1689507634
Provider Name (Legal Business Name): HEAL & THRIVE THERAPY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/08/2026
Last Update Date: 06/08/2026
Certification Date: 06/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1060 COUNTRY CLUB RD
SAINT CHARLES MO
63303-3372
US

IV. Provider business mailing address

3544A HIRAM ST
SAINT CHARLES MO
63301-7435
US

V. Phone/Fax

Practice location:
  • Phone: 636-357-7462
  • Fax:
Mailing address:
  • Phone: 636-357-7462
  • 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: JENNIFER PIPKENS
Title or Position: LICENSED PROFESSIONAL COUNSELOR
Credential: MA, EDS, LPC
Phone: 636-357-7462