Healthcare Provider Details

I. General information

NPI: 1326845124
Provider Name (Legal Business Name): ALL IN ONE HEALTH HUB, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/27/2025
Last Update Date: 02/27/2025
Certification Date: 02/27/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1691 PRESTONPARK LN
SAINT LOUIS MO
63146-4757
US

IV. Provider business mailing address

1691 PRESTONPARK LN
SAINT LOUIS MO
63146-4757
US

V. Phone/Fax

Practice location:
  • Phone: 314-922-5512
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QH0100X
TaxonomyHealth Service Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QP2300X
TaxonomyPrimary Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: KATINA SMITH
Title or Position: ADVANCED PRACTICE NURSE
Credential:
Phone: 314-922-5512