Organization
GRATEFUL HEART COUNSELING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JESSIE LEE BROCKMEIER M.ED., NCC, LPC (LPC)
(314) 972-3579
Entity
Organization
Contact information
Practice address
283 US HIGHWAY 60 W, REPUBLIC, MO 65738-1432
(417) 248-1748
(417) 200-2686
Mailing address
406 N SEMINOLE, CLEVER, MO 65631-6745
(314) 972-3579
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
04/27/2021
Last updated
04/27/2021
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