Healthcare Provider Details

I. General information

NPI: 1700796901
Provider Name (Legal Business Name): OAK AND SAGE WELLNESS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/09/2026
Last Update Date: 09/09/2026
Certification Date: 09/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

205 N 5TH ST STE 201
SAINT CHARLES MO
63301-1877
US

IV. Provider business mailing address

205 N 5TH ST STE 201
SAINT CHARLES MO
63301-1877
US

V. Phone/Fax

Practice location:
  • Phone: 314-799-8885
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State

VIII. Authorized Official

Name: SAMANTHA CALLAHAN
Title or Position: OWNER
Credential: LPC
Phone: 314-799-8885