Healthcare Provider Details

I. General information

NPI: 1558601518
Provider Name (Legal Business Name): HABIF HEALTH AND WELLNESS CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/27/2013
Last Update Date: 04/25/2025
Certification Date: 04/25/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6643 SHEPLEY DR
SAINT LOUIS MO
63105-2354
US

IV. Provider business mailing address

PO BOX 7412043
CHICAGO IL
60674-2011
US

V. Phone/Fax

Practice location:
  • Phone: 314-935-6649
  • Fax: 314-935-5781
Mailing address:
  • Phone: 314-935-6666
  • Fax: 314-935-5781

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QS1000X
TaxonomyStudent Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: CATHY EGHIGIAN
Title or Position: SENIOR DIRECTOR MANAGED CARE
Credential:
Phone: 314-273-0770