EMBODIED HEALING LLC (NPI# 1962020594) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962020594 |
| Entity Type | Organization |
| Organization Name | EMBODIED HEALING LLC |
| Practice Address |
301 Sovereign Ct Ballwin MO 63011-4441 |
| Mailing Address |
11147 Golf Crest Dr Saint Louis MO 63126-3447 |
| Practice Telephone | 3143289228 |
| Mailing Telephone | 3145669168 |
| Enumeration Date | 2020-07-09 |
| Last Update Date | 2020-07-09 |
| Authorized Official Name | MELISSA KOCH (OWNER/COUNSELOR) |
| Authorized Official Telephone | 3143289228 |
| Authorized Official Credential | LPC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
Behavioral Health & Social Service Providers |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | Embodied Healing LLC | 2040 E 127th Cir, Thornton, CO 80241 |
| Street Address |
301 SOVEREIGN CT |
| City | BALLWIN |
| State | MO |
| Zip Code | 63011-4441 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295728616 | Patient Care Professionals Inc | Home Health | 301 Sovereign Ct, Suite 102, Ballwin, MO 63011-4441 | 2005-08-31 |
| 1093246449 | Melanie Rodman | Social Worker | 301 Sovereign Ct, Suite 110, Ballwin, MO 63011-4441 | 2017-03-27 |
| 1831512086 | Amy Elizabeth Brown | Social Worker | 301 Sovereign Ct, Suite 211, Ballwin, MO 63011-4441 | 2014-01-23 |
| 1437422813 | Jerry Wayne Olive | Counselor | 301 Sovereign Ct, Suite 105, Ballwin, MO 63011-4441 | 2012-02-16 |
| 1689800039 | Norma Gayle English | Counselor | 301 Sovereign Ct, Suite 211, Ballwin, MO 63011-4441 | 2009-05-29 |
| 1093954919 | Anna Lisa Jensen | Counselor | 301 Sovereign Ct, Suite 211, Ballwin, MO 63011-4441 | 2009-02-17 |
| 1275708471 | Peggy Hinders | Counselor | 301 Sovereign Ct, Suite 211, Ballwin, MO 63011-4441 | 2008-04-28 |
| 1043280803 | Deborah Schwartz Miller | Counselor | 301 Sovereign Ct, Suite 211, Ballwin, MO 63011-4441 | 2006-01-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205309234 | Heather Renee Leone | Nurse Practitioner | 452 Sovereign Court Suite A, Ballwin, MO 63011 | 2019-01-02 |
| 1538635297 | Jennifer Lea Nicole O'donnell | Registered Nurse | 13861 Manchester Road, Town and Country, MO 63011 | 2018-10-22 |
| 1285127712 | Genevieve Friedmann | Social Worker | 301 Sovereign Ct Ste 103, Ballwin, MO 63011 | 2018-06-09 |
| 1881187391 | Andrew Cittadino Link | Dentist | 14335 Manchester Road, Ballwin, MO 63011 | 2018-06-08 |
| 1972041283 | Anavan LLC | Durable Medical Equipment & Medical Supplies | 14390 Manchester Rd, Saint Louis, MO 63011 | 2017-02-07 |
| 1780131300 | Autism and Behavioral Spectrum LLC | Day Training, Developmentally Disabled Services | 14733 Clayton Road, Chesterfield, MO 63011 | 2016-09-01 |
| 1265872964 | Eryn Nichole Miner | Behavioral Analyst | 15834 Clayton Road, Ellisville, MO 63011 | 2013-06-27 |
| 1194168765 | Donna Margaret Carrillo | Developmental Therapist | 15834 Clayton Rd., Ellisville, MO 63011 | 2013-04-12 |
| 1891047486 | Ashley Amanda Battaglia | Chiropractor | 15945 Clayton Rd Ste 230c, Ballwin, MO 63011 | 2012-10-08 |
| 1750658480 | Gary Frank Sobocinski | Pharmacist | 4033 Sovereign Court, Ballwin, MO 63011 | 2011-11-23 |
| Find all providers in zip 63011 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578177499 | Kathryn Schormann | Counselor | 485 Wildwood Pkwy Ste 3, Ballwin, MO 63011-2667 | 2020-09-08 |
| 1508422981 | Abounding Grace Counseling, LLC | Counselor | 436 Harvest Hill Ct, Ballwin, MO 63021-6269 | 2019-05-11 |
| 1114463106 | Aron Allen | Counselor | 1225 Miremont Dr, Ballwin, MO 63011-4319 | 2017-01-13 |
| 1316319635 | Stephanie Loesch | Counselor | 13545 Barrett Parkway Dr Ste 160, Ballwin, MO 63021-3800 | 2015-10-26 |
| 1376929620 | Zhanna Keeton | Counselor | 149 Log Trail Dr, Ballwin, MO 63011-3771 | 2015-08-09 |
| 1518397553 | Afshan Malik | Counselor | 823 Henry Manor Ct, Ballwin, MO 63011-3583 | 2013-11-12 |
| 1821336082 | Diane Elizabeth Klenke | Counselor | 1011 Bedford Ln, Ballwin, MO 63011-1504 | 2013-01-23 |
| 1619261849 | Rebecca J Baker | Counselor | 1260 Saint Paul Rd, Ballwin, MO 63021-8207 | 2011-06-06 |
| 1588821631 | Twin Oaks Counseling Services | Counselor | 1230 Big Bend Rd, Ballwin, MO 63021-7686 | 2008-05-16 |
| 1528097201 | Virginia R Eades | Counselor | 707 Carman Meadows Dr, Ballwin, MO 63021-7174 | 2006-07-03 |
| Find all providers in BALLWIN | ||||
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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.