Organization
AUTHENTIC LIFE COUNSELING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JULIE BERTEL LPC (OWNER)
(314) 200-5548
Entity
Organization
Contact information
Practice address
7827 TOWN SQUARE AVE STE 104-1243, O FALLON, MO 63368-7197
(314) 200-5548
Mailing address
7827 TOWN SQUARE AVE STE 104-1243, O FALLON, MO 63368-7197
(314) 200-5548
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
06/30/2023
Last updated
01/09/2025
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