Provider Demographics
NPI:1376296319
Name:ESSENTIAL HEALTH AND WELLNESS, LLC
Entity Type:Organization
Organization Name:ESSENTIAL HEALTH AND WELLNESS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER AND THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:KATHERINE
Authorized Official - Middle Name:M
Authorized Official - Last Name:LAMPRICH
Authorized Official - Suffix:
Authorized Official - Credentials:LMT
Authorized Official - Phone:314-347-8612
Mailing Address - Street 1:10800 MALLORY DR
Mailing Address - Street 2:
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63123-5949
Mailing Address - Country:US
Mailing Address - Phone:314-347-8612
Mailing Address - Fax:
Practice Address - Street 1:9109 WATSON RD STE 200
Practice Address - Street 2:
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63126-2235
Practice Address - Country:US
Practice Address - Phone:314-347-8612
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-01-31
Last Update Date:2022-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage TherapistGroup - Single Specialty