Organization
LIFE WAY COUNSELING SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HOLLY JACOBS LPC (OWNER)
(636) 498-9326
Entity
Organization
Contact information
Practice address
4650 MEXICO RD, SAINT PETERS, MO 63376-1607
(636) 498-9326
Mailing address
4650 MEXICO RD, SAINT PETERS, MO 63376-1607
(636) 498-9326
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
06/18/2022
Last updated
06/18/2022
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