Healthcare Provider Details

I. General information

NPI: 1023394319
Provider Name (Legal Business Name): CAREPOINT CHRISTIAN COUNSELING, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/31/2011
Last Update Date: 08/01/2024
Certification Date: 08/01/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12166 OLD BIG BEND RD STE 204
SAINT LOUIS MO
63122-6836
US

IV. Provider business mailing address

12166 OLD BIG BEND RD STE 204
SAINT LOUIS MO
63122-6836
US

V. Phone/Fax

Practice location:
  • Phone: 314-822-8888
  • Fax:
Mailing address:
  • Phone: 314-822-8888
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number2006038842
License Number StateMO

VIII. Authorized Official

Name: DAVID WILDE
Title or Position: MEMBER
Credential:
Phone: 314-822-8888