Organization
LIGHT TO WELLNESS THERAPY AND CONSULTING SERVICES LLC
Active
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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