Healthcare Provider Details

I. General information

NPI: 1205669090
Provider Name (Legal Business Name): HEALING TOGETHER STL, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/26/2024
Last Update Date: 09/09/2024
Certification Date: 09/09/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4923 MAFFITT PL
SAINT LOUIS MO
63113-1726
US

IV. Provider business mailing address

4923 MAFFITT PL
SAINT LOUIS MO
63113-1726
US

V. Phone/Fax

Practice location:
  • Phone: 404-250-2405
  • Fax:
Mailing address:
  • Phone: 404-250-2405
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name: HELEN IRENE THURMAN
Title or Position: OWNER/THERAPIST
Credential: PHD LCSW
Phone: 404-250-2405