Organization
IMAGE CHANGED COUNSELING AND CONSULTATION LLC
Active
Organization
IMAGE CHANGED COUNSELING AND CONSULTATION LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. TIA JENICE MORRIS MSW, ACSW, LCSW (OWNER/THERAPIST)
(314) 323-0463
Entity
Organization
Contact information
Practice address
225 S MERAMEC AVE, STE 218, CLAYTON, MO 63105-3511
(314) 323-0463
Mailing address
225 S MERAMEC AVE, STE 218, CLAYTON, MO 63105-3511
(314) 323-0463
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2010036934
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1245532894
—
MO
Enumeration date
07/27/2011
Last updated
07/28/2011
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up