Organization
LIGHT TO WELLNESS THERAPY AND CONSULTING SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ZINA JACKSON LCSW (OWNER/FOUNDER)
(636) 229-1290
Entity
Organization
Contact information
Practice address
1676 BELLEAU WOOD DR, SAINT PETERS, MO 63376-4564
(636) 229-1290
Mailing address
1676 BELLEAU WOOD DR, SAINT PETERS, MO 63376-4564
(636) 229-1290
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
Other
Enumeration date
04/16/2022
Last updated
04/16/2022
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