Organization
CHILDREN'S THERAPY SUPPORT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GINA ROTH (OWNER)
(573) 883-6927
Entity
Organization
Contact information
Practice address
718 A STE GENEVIEVE DRIVE, STE GENEVIEVE, MO 63670
(573) 883-6927
Mailing address
23001 BUCKINGHAM, STE GENEVIEVE, MO 63670
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
103K00000X
Behavior Analyst
—
—
224Z00000X
Occupational Therapy Assistant
—
—
225100000X
Physical Therapist
Primary
—
—
225200000X
Physical Therapy Assistant
—
—
225X00000X
Occupational Therapist
—
—
2355S0801X
Speech-Language Assistant
—
—
235Z00000X
Speech-Language Pathologist
—
—
Other
Enumeration date
11/07/2025
Last updated
11/07/2025
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