Organization
DOUGLASS ENTERPRISES LLC
Active
Other names
GOAL DRIVEN COUNSELING LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MELISSA DOUGLASS LCSW (OWNER)
(314) 699-4216
Entity
Organization
Contact information
Practice address
1855 CHATEAU DU MONT DR, FLORISSANT, MO 63031-1053
(314) 699-4216
(949) 404-6130
Mailing address
PO BOX 125, FLORISSANT, MO 63032-0125
(314) 699-4216
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
12/05/2018
Last updated
10/22/2020
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