Healthcare Provider Details

I. General information

NPI: 1982256418
Provider Name (Legal Business Name): CHANGING YOUR BELIEFS TO A BETTER LIFE, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/15/2019
Last Update Date: 07/15/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2536 S OLD HIGHWAY 94 STE 120
SAINT CHARLES MO
63303-5627
US

IV. Provider business mailing address

3252 MEADOW TRAIL DR
SAINT PETERS MO
63376-7575
US

V. Phone/Fax

Practice location:
  • Phone: 314-825-7905
  • Fax:
Mailing address:
  • Phone: 314-825-7905
  • 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: MS. NANCY J MESEY
Title or Position: LPC
Credential: LPC
Phone: 314-825-7905