Individual
KIM HEATH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
9645 MESA DR, SAINT LOUIS, MO 63132-2030
(314) 997-1527
Mailing address
9645 MESA DR, SAINT LOUIS, MO 63132-2030
(314) 997-1527
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2005038676
LPC
MO
Enumeration date
10/22/2021
Last updated
04/28/2025
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