Organization
CONQUER THE CHANGE THERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELLE PEROTTA LMSW (OWNER)
(314) 409-3113
Entity
Organization
Contact information
Practice address
12747 OLIVE BLVD STE 300, SAINT LOUIS, MO 63141-6269
(314) 217-6980
Mailing address
12747 OLIVE BLVD STE 300, SAINT LOUIS, MO 63141-6269
(314) 217-6980
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
07/22/2024
Last updated
07/22/2024
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