Provider Demographics
NPI:1760882997
Name:THE GOOD LIFE...A COUNSELING COMPANY
Entity Type:Organization
Organization Name:THE GOOD LIFE...A COUNSELING COMPANY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ALLISON
Authorized Official - Middle Name:
Authorized Official - Last Name:HEWITT
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:314-497-8954
Mailing Address - Street 1:3533 DUNN RD
Mailing Address - Street 2:STE 230
Mailing Address - City:FLORISSANT
Mailing Address - State:MO
Mailing Address - Zip Code:63033-6761
Mailing Address - Country:US
Mailing Address - Phone:314-497-8954
Mailing Address - Fax:314-831-8874
Practice Address - Street 1:3533 DUNN RD
Practice Address - Street 2:STE 230
Practice Address - City:FLORISSANT
Practice Address - State:MO
Practice Address - Zip Code:63033-6761
Practice Address - Country:US
Practice Address - Phone:314-497-8954
Practice Address - Fax:314-831-8874
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-08-25
Last Update Date:2014-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2013043963251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health