Healthcare Provider Details

I. General information

NPI: 1740136373
Provider Name (Legal Business Name): NEW HORIZON WELLNESS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/06/2026
Last Update Date: 03/06/2026
Certification Date: 03/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7301 TULANE AVE
SAINT LOUIS MO
63130-2907
US

IV. Provider business mailing address

7301 TULANE AVE
SAINT LOUIS MO
63130-2907
US

V. Phone/Fax

Practice location:
  • Phone: 314-596-5518
  • Fax:
Mailing address:
  • Phone: 314-596-5518
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171400000X
TaxonomyHealth & Wellness Coach
License Number
License Number State

VIII. Authorized Official

Name: KEVIN TEUBNER
Title or Position: PARTNER/ PROVIDER
Credential:
Phone: 314-596-5518