Divine Youth Wellness Centre, Llc

LBN: Divine Youth Wellness Centre, Llc
Divine Youth Wellness Centre, Llc is an health care organization with primary practice located at 6506 Wright Way , Saint Louis MO 63121-3209. The organization recently has only one registered license in Ambulatory Health Care Facilities / Community Health, which is considered as the primary health care specialty. Divine Youth Wellness Centre, Llc can be contacted via phone (314) 643-6621, or through Jones, Tajuana via phone (314) 643-6621.

Contact Information

Primary practice address
6506 Wright Way Saint Louis MO 63121-3209
Phone: (314) 643-6621
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Jones, Tajuana Licensed Clinical Social Worker (LCSW)
Phone: (314) 643-6621

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Community Health 261QC1500X

Profile Details

NPI number 1326881087
LBN Legal business name Divine Youth Wellness Centre, Llc
DBA Doing business as
Authorized official Jones, Tajuana Licensed Clinical Social Worker (LCSW)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 18th, 2024
Last updated Jun 18th, 2024 - about last year

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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