Healthcare Provider Details

I. General information

NPI: 1447451513
Provider Name (Legal Business Name): WESTPLEX COUNSELING, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/29/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1120 WOLFRUM RD STE 201 OFFICE 204
WELDON SPRING MO
63304-7959
US

IV. Provider business mailing address

1120 WOLFRUM RD STE 201 OFFICE 204
WELDON SPRING MO
63304-7959
US

V. Phone/Fax

Practice location:
  • Phone: 636-442-5674
  • Fax:
Mailing address:
  • Phone: 636-442-5674
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number2004030919
License Number StateMO
# 2
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number2005005526
License Number StateMO

VIII. Authorized Official

Name: MRS. JULIE ELIZABETH OSTERHOLT
Title or Position: THERAPIST, CO OWNER
Credential: LCSW
Phone: 636-442-5674