Provider Demographics
NPI:1982256418
Name:CHANGING YOUR BELIEFS TO A BETTER LIFE, LLC
Entity Type:Organization
Organization Name:CHANGING YOUR BELIEFS TO A BETTER LIFE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LPC
Authorized Official - Prefix:MS
Authorized Official - First Name:NANCY
Authorized Official - Middle Name:J
Authorized Official - Last Name:MESEY
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:314-825-7905
Mailing Address - Street 1:3252 MEADOW TRAIL DR
Mailing Address - Street 2:
Mailing Address - City:SAINT PETERS
Mailing Address - State:MO
Mailing Address - Zip Code:63376-7575
Mailing Address - Country:US
Mailing Address - Phone:314-825-7905
Mailing Address - Fax:
Practice Address - Street 1:2536 S OLD HIGHWAY 94 STE 120
Practice Address - Street 2:
Practice Address - City:SAINT CHARLES
Practice Address - State:MO
Practice Address - Zip Code:63303-5627
Practice Address - Country:US
Practice Address - Phone:314-825-7905
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-07-15
Last Update Date:2019-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO490060224Medicaid