EMPOWERING MIND AND BODY BALANCE, LLC (NPI# 1306477724) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306477724 |
| Entity Type | Organization |
| Organization Name | EMPOWERING MIND AND BODY BALANCE, LLC |
| Practice Address |
10801 Big Bend Rd Kirkwood MO 63122-6055 |
| Mailing Address |
1564 Wooden Bridge Trl Ballwin MO 63021-8412 |
| Practice Telephone | 8163850900 |
| Mailing Telephone | 8163850900 |
| Enumeration Date | 2020-02-04 |
| Last Update Date | 2020-02-04 |
| Authorized Official Name | MRS. LAURA ALISON DENKLER (OWNER) |
| Authorized Official Telephone | 8163850900 |
| Authorized Official Credential | LCSW |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| Street Address |
10801 BIG BEND RD |
| City | KIRKWOOD |
| State | MO |
| Zip Code | 63122-6055 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619241254 | Sarah Buehner | Social Worker | 10801 Big Bend Rd, Kirkwood, MO 63122-6055 | 2012-02-29 |
| 1366073546 | Awakened Life Healing, LLC | Clinic/Center | 10801 Big Bend Rd, Kirkwood, MO 63122-6055 | 2020-01-28 |
| 1376969444 | Laura Alison Denkler | Counselor | 10801 Big Bend Rd, Kirkwood, MO 63122-6029 | 2014-03-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659933174 | Keela Rushing | Physical Therapist | 439 S Kirkwood Rd Ste 200, Kirkwood, MO 63122 | 2019-07-04 |
| 1730643461 | Kirkwood Family Dental | Dentist | 333 S Kirkwood Road, Suite 105, Kirkwood, MO 63122 | 2019-01-28 |
| 1477061166 | Total Access Urgent Care, PC | Clinic/Center | 2980 Dougherty Ferry Rd, Saint Louis, MO 63122 | 2018-01-16 |
| 1760933469 | Missouri Cvs Pharmacy, L.l.c | Durable Medical Equipment & Medical Supplies | 10820 Manchester Rd, Kirkwood, MO 63122 | 2016-10-18 |
| 1518321041 | M. Kathleen Blanchard | Counselor | 11042 Manchester Rd., Kirkwood, MO 63122 | 2016-04-11 |
| 1265801914 | Kim Grega | Counselor | 700 S Kirkwood Rd, Kirkwood, MO 63122 | 2015-09-23 |
| 1245617943 | Mark Edward Taylor | Dentist | 610 North Geyer, Kirkwood, MO 63122 | 2015-05-01 |
| 1467843094 | Mary Elizabeth Boomgarden | Physical Therapist | 9645 Big Bend Boulevard, Saint Louis, MO 63122 | 2015-02-18 |
| 1760725717 | Michael Diller Counseling | Counselor | 144 W Madison Avenue, Kirkwood, MO 63122 | 2013-03-28 |
| 1427309954 | Anne Marie Delaplain | Dentist | 725 Laclede Station Road, Webster Groves, MO 63122 | 2012-09-24 |
| Find all providers in zip 63122 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316501109 | Jazmyn Frager | Counselor | 206 W Rose Hill Ave, Kirkwood, MO 63122-5918 | 2019-04-26 |
| 1518435445 | Angie Casey | Counselor | 111 Prospect Ave Ste 203j, Kirkwood, MO 63122-6033 | 2018-11-08 |
| 1194259390 | Angela Faye Lovett | Counselor | 108 N Clay Ave Ste 200, Kirkwood, MO 63122-4265 | 2017-04-13 |
| 1265801914 | Kim Grega | Counselor | 700 S Kirkwood Rd, Kirkwood, MO 63122 | 2015-09-23 |
| 1811134190 | Chad R Randall | Counselor | 140 Prospect Ave Ste T, Kirkwood, MO 63122-6024 | 2009-01-08 |
| 1003939323 | Glennon Charles Doherty | Counselor | 214 S Clay Ave, Apt. 3, Kirkwood, MO 63122-4215 | 2007-04-10 |
| 1578034468 | Alexandra Anne Solaro | Counselor | 108 N Clay Ave Ste 200, Kirkwood, MO 63122-4265 | 2018-12-17 |
| 1265934244 | Amanda Fondow | Counselor | 12166 Old Big Bend Rd Ste 102, Kirkwood, MO 63122-6836 | 2018-03-06 |
| 1265975007 | Patricia Ann Heiser | Counselor | 140 Prospect Ave, Suite S., Kirkwood, MO 63122-6024 | 2016-11-28 |
| 1831647809 | Joyce Hathaway | Counselor | 11042 Manchester Rd, Kirkwood, MO 63122-1244 | 2016-09-19 |
| Find all providers in KIRKWOOD | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.