Organization
EMBODIED HEALING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MELISSA KOCH LPC (OWNER/COUNSELOR)
(314) 328-9228
Entity
Organization
Contact information
Practice address
301 SOVEREIGN CT, BALLWIN, MO 63011-4441
(314) 328-9228
Mailing address
11147 GOLF CREST DR, SAINT LOUIS, MO 63126-3447
(314) 566-9168
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
07/09/2020
Last updated
07/09/2020
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