Organization
FOUNDATIONS FOR CHANGE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ALEXANDRIA C. BOYER MA (PARTNER)
(314) 577-0444
Entity
Organization
Contact information
Practice address
3115 S GRAND BLVD, ST. LOUIS, MO 63118
(314) 577-0444
Mailing address
3115 S GRAND BLVD, ST. LOUIS, MO 63118
(314) 577-0444
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1144578519
—
MO
05
—
133624356
—
MO
05
—
1861703944
—
MO
Enumeration date
08/30/2012
Last updated
08/30/2012
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