Healthcare Provider Details

I. General information

NPI: 1447034731
Provider Name (Legal Business Name): NURTURING ALL MINDS INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/21/2023
Last Update Date: 09/14/2026
Certification Date: 09/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7523 MEXICO RD
SAINT PETERS MO
63376-1389
US

IV. Provider business mailing address

7523 MEXICO RD
SAINT PETERS MO
63376-1389
US

V. Phone/Fax

Practice location:
  • Phone: 636-244-2242
  • Fax:
Mailing address:
  • Phone: 636-244-2242
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: CALLIE JOHNSON
Title or Position: EXECUTIVE DIRECTOR
Credential:
Phone: 314-850-8045