Healthcare Provider Details

I. General information

NPI: 1306773551
Provider Name (Legal Business Name): DOCHAS CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/04/2026
Last Update Date: 05/04/2026
Certification Date: 05/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7902 BIG BEND BLVD
WEBSTER GROVES MO
63119-2704
US

IV. Provider business mailing address

7501 MURDOCH AVE # 1003
SAINT LOUIS MO
63119-2810
US

V. Phone/Fax

Practice location:
  • Phone: 314-260-1934
  • Fax:
Mailing address:
  • Phone: 314-260-1934
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DR. SHANNON C COOPER-SADLO
Title or Position: OWNER
Credential: PHD/LCSW
Phone: 314-260-1934