Organization
BEACON PSYCHOTHERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CELESTE MARIE SOUZA MSW, LCSW (FOUNDER)
(314) 750-2093
Entity
Organization
Contact information
Practice address
3911 GREER AVE, SAINT LOUIS, MO 63107-2112
(314) 750-2093
Mailing address
3911 GREER AVE, SAINT LOUIS, MO 63107-2112
(314) 750-2093
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
09/06/2023
Last updated
09/06/2023
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