Healthcare Provider Details

I. General information

NPI: 1407433675
Provider Name (Legal Business Name): TALK THERAPY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/25/2021
Last Update Date: 10/05/2026
Certification Date: 10/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9378 OLIVE BLVD STE 104A
SAINT LOUIS MO
63132-3222
US

IV. Provider business mailing address

9378 OLIVE BLVD
OLIVETTE MO
63132-3215
US

V. Phone/Fax

Practice location:
  • Phone: 636-578-7879
  • Fax: 636-206-2832
Mailing address:
  • Phone: 636-578-7879
  • Fax: 636-206-2832

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number StateNULL

VIII. Authorized Official

Name: FRANCELLE DENISE
Title or Position: LICENSED PROFESSIONAL COUNSELOR
Credential:
Phone: 636-578-7879