Organization
FLOURISHING KIDS THERAPY & LACTATION LLC
Active
Other names
From the Heart Feeding and Lactation LLC
Organization subpart
No
Provider details
NPI number
Authorized official
JODIE WALLIS CLC, MS, CCC-SLP (OWNER/PEDIATRIC FEEDING SPECIALIST)
(636) 748-0170
Entity
Organization
Contact information
Practice address
1600 HERITAGE LNDG STE 201, SAINT PETERS, MO 63303-8488
(636) 748-0170
Mailing address
1600 HERITAGE LNDG STE 201, SAINT PETERS, MO 63303-8488
(636) 748-0170
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
12/12/2023
Last updated
02/18/2024
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