Organization
NOAH HENDERSON PHD MFT
Active
Other names
United Chrisrtian Counseling Center LLC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NOAH JAMEEL HENDERSON PHD MFT (CHIEF EXECUTIVE OFFICER)
(314) 391-0248
Entity
Organization
Contact information
Practice address
231 S BEMISTON AVE STE 800, SAINT LOUIS, MO 63105-1925
(180) 055-6376
Mailing address
231 S BEMISTON AVE STE 800, SAINT LOUIS, MO 63105-1925
(180) 055-6376
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
—
261QI0500X
Infusion Therapy Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0024589
—
MO
Enumeration date
08/26/2020
Last updated
06/12/2022
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