Provider Demographics
NPI:1114199031
Name:LIVING TRUTH COUNSELING SERVICES, LLC
Entity Type:Organization
Organization Name:LIVING TRUTH COUNSELING SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:SARAH
Authorized Official - Middle Name:JAYNE
Authorized Official - Last Name:BUEK
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:314-215-9255
Mailing Address - Street 1:PO BOX 440043
Mailing Address - Street 2:
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63144-0443
Mailing Address - Country:US
Mailing Address - Phone:314-215-9255
Mailing Address - Fax:
Practice Address - Street 1:10820 SUNSET OFFICE DR
Practice Address - Street 2:SUITE 108
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63127-1016
Practice Address - Country:US
Practice Address - Phone:314-215-9255
Practice Address - Fax:314-822-5200
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-04-01
Last Update Date:2008-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO20060129731041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty