THE CENTER FOR HEALTH & WELLNESS, LLC (NPI# 1629205539) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629205539 |
| Entity Type | Organization |
| Organization Name | THE CENTER FOR HEALTH & WELLNESS, LLC |
| Practice Address |
12818 Tesson Ferry Rd Suite 101 Saint Louis MO 63128-2945 |
| Practice Telephone | 3148437500 |
| Practice Fax Number | 3148437503 |
| Mailing Telephone | 3148437500 |
| Mailing Fax Number | 3148437503 |
| Enumeration Date | 2009-06-18 |
| Last Update Date | 2009-06-18 |
| Authorized Official Name | DR. JENNIFER E BROCKMAN (OWNER) |
| Authorized Official Telephone | 3148437500 |
| Authorized Official Credential | M.D |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | 2004003502 | MO | Other Service Providers |
| Street Address |
12818 TESSON FERRY RD SUITE 101 |
| City | SAINT LOUIS |
| State | MO |
| Zip Code | 63128-2945 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922002344 | Loren Clayton Schrenk | Ophthalmology | 12818 Tesson Ferry Rd, Ste 201, Saint Louis, MO 63128-2945 | 2005-06-13 |
| 1700208782 | Elizabeth Dunn Babcock | Dietitian, Registered | 12818 Tesson Ferry Rd, Suite 104, Saint Louis, MO 63128-2945 | 2014-01-10 |
| 1962751750 | Christopher T James | Hearing Instrument Specialist | 12818 Tesson Ferry Rd, Ste 205, Saint Louis, MO 63128-2945 | 2012-09-07 |
| 1053647008 | South County Dental Imaging Center | Clinic/Center | 12818 Tesson Ferry Rd, Suite 204, Saint Louis, MO 63128-2945 | 2009-10-27 |
| 1336301142 | The Center for Health and Wellness | Psychiatry & Neurology | 12818 Tesson Ferry Rd, Suite 101, Saint Louis, MO 63128-2945 | 2008-07-02 |
| 1063636934 | Mark Andrew Mcclure | Dentist | 12818 Tesson Ferry Rd, Suite 202, Saint Louis, MO 63128-2945 | 2007-04-12 |
| 1699806919 | Eyecare Management LLC | Optometrist | 12818 Tesson Ferry Rd, Suite 201, Saint Louis, MO 63128-2945 | 2007-03-08 |
| 1093846347 | Eye Consultants of Il Ltd | Ophthalmology | 12818 Tesson Ferry Rd, Suite 201, Saint Louis, MO 63128-2945 | 2007-03-08 |
| 1417917881 | Daniel J. Mueth | Dentist | 12818 Tesson Ferry Rd, Suite 102, Saint Louis, MO 63128-2945 | 2006-03-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235771155 | James T Fetsch Dmd LLC | Dentist | 10004 Kennerly Rd Suite 240, Saint Louis, MO 63128 | 2019-10-11 |
| 1326504655 | Nikodem Dental Holdings | Dentist | 4337 Butler Hill Rd Suite G, St Louis Mo, MO 63128 | 2019-02-12 |
| 1932678505 | Michelle Anne Arvidson | Physical Therapy Assistant | Elite Physical Therapy, 12608 Lamplighter Square Shopping Center, St. Louis, MO 63128 | 2018-11-13 |
| 1245726710 | Kristen Rider | Nurse Practitioner | 9964 Kennerly Rd Ste D, Saint Louis, MO 63128 | 2018-07-07 |
| 1306217427 | Sophia Bednarski | Dentist | 12660 Lamplighter Square Shopping Center, St. Louis, MO 63128 | 2015-10-15 |
| 1427434224 | Darcie Burrus | Counselor | 12523 Old Tesson Rd G, St Louis, MO 63128 | 2015-08-04 |
| 1710368584 | Sara Hawatmeh | Internal Medicine | 12345 W Bend Dr Ste 304, Saint Louis, MO 63128 | 2015-06-17 |
| 1871989590 | Celia Grace Montes-kolence | Speech-Language Pathologist | 12335 W Bend Drive, Saint Louis, MO 63128 | 2015-04-09 |
| 1245629302 | Marius Antonio Evans | Dentist | 9911 Kennerly Rd., Suite G, St. Louis, MO 63128 | 2015-01-13 |
| 1801230313 | Sarah Elizabeth Walsh | Emergency Medicine | 10010 Kennerly Road, Emergency Department, St. Anthony's Medical Center, St. Louis, MO 63128 | 2013-04-26 |
| Find all providers in zip 63128 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497381990 | Styles 40 Salon | Specialist | 4550 Gravois Ave, Saint Louis, MO 63116-2426 | 2020-03-16 |
| 1013560721 | Against The Grainz | Specialist | 8523 Drury Ln, Saint Louis, MO 63147-1313 | 2019-07-22 |
| 1487211033 | Kia Lanay Lewis | Specialist | 9700 Portage Dr, Saint Louis, MO 63136-5312 | 2019-05-20 |
| 1376011007 | Lashonda S Wash | Specialist | 222 Bruce Ave, Saint Louis, MO 63135-2704 | 2018-11-12 |
| 1326516048 | Showna Walker | Specialist | 2242 Berwyn Dr, Saint Louis, MO 63136-5415 | 2018-11-12 |
| 1760973697 | Angela Haas | Specialist | 1361 Childress Ave, Saint Louis, MO 63139-3451 | 2018-05-26 |
| 1962907782 | Kelsey Conley | Specialist | 2839 Howard St, Saint Louis, MO 63106-2027 | 2018-03-25 |
| 1285135848 | Che Salon | Specialist | 8416 Olive Blvd, Saint Louis, MO 63132-2816 | 2018-02-27 |
| 1790225084 | Michael Bergman | Specialist | 6327 S Grand Blvd, Apt 1g, Saint Louis, MO 63111-2653 | 2017-03-06 |
| 1275082406 | Tim Fick | Specialist | 5157 Lemay Ferry Rd, Saint Louis, MO 63129-1533 | 2016-09-29 |
| Find all providers in SAINT LOUIS | ||||
| City | SAINT LOUIS |
| Zip Code | 63128 |
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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.