Organization
MIDDLE PATH WELLNESS COLLECTIVE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MACKENZIE LESTER LCSW (OWNER)
(314) 477-6105
Entity
Organization
Contact information
Practice address
2451 EXECUTIVE DR STE 205, SAINT CHARLES, MO 63303-5606
(314) 375-6599
Mailing address
2451 EXECUTIVE DR STE 205, SAINT CHARLES, MO 63303-5606
(314) 375-6599
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
07/14/2025
Last updated
07/14/2025
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