Organization
STORMLIGHT BEACON & BASES COUNSELING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KACIE-LYNN WIGGER (OWNER)
(314) 580-4146
Entity
Organization
Contact information
Practice address
3624 NEW MELLE FARM DR, WENTZVILLE, MO 63385-5970
(314) 580-4146
Mailing address
3624 NEW MELLE FARM DR, WENTZVILLE, MO 63385-5970
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
01/12/2026
Last updated
01/12/2026
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