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Organization

PERINATAL WELLNESS INSTITUTE, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JAMIE K BODILY LPC (EXECUTIVE DIRECTOR)
(636) 699-2839
Entity
Organization

Contact information

Practice address
1480 WOODSTONE DR STE 112, SAINT CHARLES, MO 63304-6872
(636) 699-2839
(844) 641-1015
Mailing address
1480 WOODSTONE DR STE 112, SAINT CHARLES, MO 63304-6872
(636) 699-2839
(844) 641-1015

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
253Z00000X
In Home Supportive Care Agency
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)

Other

Enumeration date
10/15/2019
Last updated
10/15/2019
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