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General NPI Number Information
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NPI Number | 1508794538
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Entity Type | Organization
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Legal Business Name | EIGHT DIMENSIONS WELLNESS CENTER (THE DBA OF BUILDING THE ROAD HOME)
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Dates
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Enumeration Date | 05/11/2026
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Last Update Date | 05/11/2026
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Provider Practice Location Address
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Address Line | 258 S FLORISSANT RD
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City | FERGUSON
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State | MO
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Zip | 63135-2736
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Country | US
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Telephone | 314-380-3135
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Fax |
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Provider Business Mailing Address
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Address Line | 258 S FLORISSANT RD
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City | FERGUSON
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State | MO
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Zip | 63135-2736
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Country | US
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Telephone | 314-380-3135
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Fax |
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Authorized Official
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Title or Position | FOUNDER/CEO
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Name | DR. MICHELLE ECHOLS
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Credential | DSW, LCSW, CADC
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Telephone | 314-380-3135
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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