Organization
LIFES JOURNEY COUNSELING SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. RENNIE CHASTAIN-PEPPARS MSW LCSW (OWNER)
(816) 262-4494
Entity
Organization
Contact information
Practice address
1724 8TH AVE, SAINT JOSEPH, MO 64505-1811
(816) 262-4494
(816) 364-4737
Mailing address
1724 8TH AVE, SAINT JOSEPH, MO 64505-1811
(816) 262-4494
(816) 364-4737
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
001347
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
36358018
BCBS
—
05
—
493517619
—
MO
Enumeration date
05/31/2011
Last updated
05/31/2011
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