Organization
THE CENTER FOR MENTAL WELLNESS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NATASHA DOHERTY LCSW (PRESIDENT, CEO)
(314) 474-8804
Entity
Organization
Contact information
Practice address
121 HUNTER AVE STE 202, CLAYTON, MO 63124-2083
(314) 474-8804
Mailing address
121 HUNTER AVE STE 202, CLAYTON, MO 63124-2083
(314) 474-8804
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
1041C0700X
Clinical Social Worker
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
09/02/2021
Last updated
07/05/2023
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