Provider Demographics
NPI:1790398329
Name:WALKING EACH OTHER HOME WELLNESS LLC
Entity Type:Organization
Organization Name:WALKING EACH OTHER HOME WELLNESS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:CAITLIN
Authorized Official - Middle Name:E
Authorized Official - Last Name:MCNEECE
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:314-669-1729
Mailing Address - Street 1:5149 DRESDEN AVE
Mailing Address - Street 2:
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63116-1325
Mailing Address - Country:US
Mailing Address - Phone:314-669-1729
Mailing Address - Fax:
Practice Address - Street 1:5149 DRESDEN AVE
Practice Address - Street 2:
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63116-1325
Practice Address - Country:US
Practice Address - Phone:314-669-1729
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-08-24
Last Update Date:2020-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health