Healthcare Provider Details

I. General information

NPI: 1184564205
Provider Name (Legal Business Name): FEMALE EMPOWERED PROGRESSIONS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/30/2026
Last Update Date: 03/30/2026
Certification Date: 03/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4390 LINDELL BLVD
SAINT LOUIS MO
63108-2568
US

IV. Provider business mailing address

11001 DUNKLIN DR UNIT 38761
SAINT LOUIS MO
63138-5032
US

V. Phone/Fax

Practice location:
  • Phone: 314-325-9758
  • Fax:
Mailing address:
  • Phone:
  • 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: LACITA MOODY
Title or Position: OWNER
Credential:
Phone: 314-325-9758