Organization
HABAKKUKS JOURNEY
Active
Other names
Habakkuks Journey
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ANTIONETTE TRAVIS (CEO)
(314) 345-0028
Entity
Organization
Contact information
Practice address
3810 W FLORISSANT AVE, SAINT LOUIS, MO 63107-1621
(314) 913-5836
Mailing address
2109 ALLEN AVE, SAINT LOUIS, MO 63104-2630
(314) 345-0028
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
03/06/2023
Last updated
03/06/2023
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