Provider Demographics
NPI:1851912240
Name:ALL IN THERAPY, LLC
Entity Type:Organization
Organization Name:ALL IN THERAPY, LLC
Other - Org Name:PETER BOGART LPC, NCC, LLC
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:COUNSELOR
Authorized Official - Prefix:
Authorized Official - First Name:PETER
Authorized Official - Middle Name:
Authorized Official - Last Name:BOGART
Authorized Official - Suffix:
Authorized Official - Credentials:LPC, NCC
Authorized Official - Phone:314-403-2611
Mailing Address - Street 1:343 S KIRKWOOD RD UNIT 221231
Mailing Address - Street 2:
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63122-7064
Mailing Address - Country:US
Mailing Address - Phone:314-403-2611
Mailing Address - Fax:
Practice Address - Street 1:7710 CARONDELET
Practice Address - Street 2:SUITE #204
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63105
Practice Address - Country:US
Practice Address - Phone:314-403-2611
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-04-27
Last Update Date:2020-06-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health