Healthcare Provider Details

I. General information

NPI: 1013342187
Provider Name (Legal Business Name): THERESA MARIE BLESSING LPC, NBCC, LCPC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: THERESA MARIE PACE LPC

II. Dates (important events)

Enumeration Date: 09/09/2013
Last Update Date: 04/10/2025
Certification Date: 04/10/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

711 OLD BALLAS RD
SAINT LOUIS MO
63141-7051
US

IV. Provider business mailing address

8350 STATE ROUTE 30
DITTMER MO
63023-1909
US

V. Phone/Fax

Practice location:
  • Phone: 314-806-1025
  • Fax:
Mailing address:
  • Phone: 636-707-2097
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number2013033414
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: