Provider Demographics
NPI:1336583962
Name:THE CENTER FOR NATURAL HEALTH, LLC
Entity Type:Organization
Organization Name:THE CENTER FOR NATURAL HEALTH, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:AMY
Authorized Official - Middle Name:
Authorized Official - Last Name:WICKS
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:636-724-5757
Mailing Address - Street 1:914 HEMSATH RD STE 104A
Mailing Address - Street 2:
Mailing Address - City:SAINT CHARLES
Mailing Address - State:MO
Mailing Address - Zip Code:63303-6582
Mailing Address - Country:US
Mailing Address - Phone:636-724-5757
Mailing Address - Fax:
Practice Address - Street 1:914 HEMSATH RD STE 104A
Practice Address - Street 2:
Practice Address - City:SAINT CHARLES
Practice Address - State:MO
Practice Address - Zip Code:63303-6582
Practice Address - Country:US
Practice Address - Phone:636-724-5757
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-04-25
Last Update Date:2021-12-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2013000345111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty