Organization
OUROBOROS COUNSELING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRITAIN SHAW LPC (OWNER)
(361) 945-8382
Entity
Organization
Contact information
Practice address
3449 S JEFFERSON AVE # 10, SAINT LOUIS, MO 63118-3119
(314) 312-1206
Mailing address
1123 LOCUST ST STE 237, SAINT LOUIS, MO 63101-1103
(361) 945-8382
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Enumeration date
10/09/2024
Last updated
03/16/2026
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