Organization
THERESA WISS, LCSW, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THERESA WISS LCSW (OWNER/LCSW)
(860) 324-3581
Entity
Organization
Contact information
Practice address
7200 MANCHESTER RD, MAPLEWOOD, MO 63143-2403
(860) 324-3581
Mailing address
6925 COLUMBIA AVE, UNIVERSITY CITY, MO 63130-3127
(860) 324-3581
(860) 324-3581
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
06/16/2026
Last updated
06/16/2026
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