Healthcare Provider Details

I. General information

NPI: 1154241271
Provider Name (Legal Business Name): THE CENTER FOR MINDFULNESS AND CBT, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/18/2026
Last Update Date: 07/18/2026
Certification Date: 07/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

967 GARDENVIEW OFFICE PKWY
SAINT LOUIS MO
63141-5917
US

IV. Provider business mailing address

967 GARDENVIEW OFFICE PKWY
SAINT LOUIS MO
63141-5917
US

V. Phone/Fax

Practice location:
  • Phone: 314-561-9757
  • Fax: 314-561-9050
Mailing address:
  • Phone: 314-561-9757
  • Fax: 314-561-9050

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TB0200X
TaxonomyCognitive & Behavioral Psychologist
License Number
License Number State

VIII. Authorized Official

Name: LAURA M. CHACKES-TONOPOLSKY
Title or Position: OWNER
Credential:
Phone: 314-561-9757