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Organization
TIM BIZELLI COUNSELING LLC
Active
Organization
TIM BIZELLI COUNSELING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TIM DUANE BIZELLI LPC (OWNER/CLINICAL SUPERVISOR)
(636) 345-1106
Entity
Organization
Contact information
Practice address
8759 VETERANS MEMORIAL PKWY, O FALLON, MO 63366-7538
(636) 345-1106
(636) 356-1319
Mailing address
230 GOBBLER DR, TROY, MO 63379-2578
(636) 345-1106
(636) 356-1319
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
10/28/2021
Last updated
10/28/2021
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