Healthcare Provider Details

I. General information

NPI: 1043109887
Provider Name (Legal Business Name): MINDS IN PROGRESS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/28/2025
Last Update Date: 03/11/2026
Certification Date: 03/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3930 S OLD HIGHWAY 94 STE 102
SAINT CHARLES MO
63304-2836
US

IV. Provider business mailing address

3930 S OLD HIGHWAY 94 STE 102
SAINT CHARLES MO
63304-2836
US

V. Phone/Fax

Practice location:
  • Phone: 314-744-9535
  • Fax:
Mailing address:
  • Phone: 314-744-9535
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC2200X
TaxonomyClinical Child & Adolescent Psychologist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code261QM0855X
TaxonomyAdolescent and Children Mental Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MCKINZIE DUESENBERG-MARSHALL
Title or Position: OWNER/LICENSED PSYCHOLOGIST
Credential: PHD
Phone: 314-960-4545