Organization
MENTAL HEALTH LIFE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALEXANDER SHAW (DIRECTOR OF OPERATIONS)
(636) 279-0847
Entity
Organization
Contact information
Practice address
4087 N SAINT PETERS PKWY, SAINT PETERS, MO 63304-7396
(636) 775-4894
(855) 719-2526
Mailing address
206 CANDICE WAY, SAINT PETERS, MO 63376-4621
(636) 775-4894
(855) 719-2526
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
—
Other
Enumeration date
11/26/2025
Last updated
11/26/2025
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