MEDICARE: EMPOWERED SEASONS THERAPY AND WELLNESS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YP2500X	Professional Counselor

General Provider Information

NPI Number	:	1538099189
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	EMPOWERED SEASONS THERAPY AND WELLNESS

Provider Business Mailing Address
First Line	:	224 N HIGHWAY 67 ST STE 113
Second Line	:
City	:	FLORISSANT
State	:	MO
Zip	:	63031-5904
Country	:	US
Telephone Number	:	314-328-5039
Fax Number	:

Provider Business Practice Location Address
First Line	:	195 SAINT FERDINAND ST
Second Line	:
City	:	FLORISSANT
State	:	MO
Zip	:	63031-5927
Country	:	US
Telephone Number	:	314-328-5039
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	MS. KRISTEN COLLINS
Credential	:	LPC
Telephone Number	:	314-328-5039

Provider Enumeration Date	:	05/22/2026
Last Update Date	:	06/02/2026

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Directions to “EMPOWERED SEASONS THERAPY AND WELLNESS ” Practice Location

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