Organization
POSITIVE FAMILY DYNAMICS,PC
Active
Other names
positive family living
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ALICE G VLIETSTRA PH.D. (OWNER)
(314) 729-2855
Entity
Organization
Contact information
Practice address
745 CRAIG ROAD, SAINT LOUIS, MO 63141-7122
(314) 729-2855
(314) 529-3534
Mailing address
3042 ANDOVER DR, SAINT LOUIS, MO 63121-4606
(314) 729-2855
Taxonomy
Speciality
Code
Description
License number
State
103TH0100X
Health Service Psychologist
Primary
PY01089
MO
106H00000X
Marriage & Family Therapist
300075
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
075243
VALUE OPTIONS
MO
01
—
1601
BLUE DROSS BLUE SHIELD
MO
Enumeration date
01/06/2012
Last updated
10/26/2025
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