O'Fallon Marital & Family Counseling and Wellness Center

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

2009005905 Issued in MO

Legal business name

O'FALLON MARITAL & FAMILY COUNSELING AND WELLNESS CENTER

Practice address

1137 N Main St
Suite 2
O Fallon, MO 63366-1498

Phone

(636) 294-4640

Fax

(636) 294-4641

NPI assigned

May 8, 2009

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Patricia Ann Rowan, DMFT

Title

President, Clinical Director

Phone

(636) 294-4640

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1241740800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1357171200000",
    "number": "1619101482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1137 N MAIN ST",
            "address_2": "SUITE 2",
            "city": "O FALLON",
            "state": "MO",
            "postal_code": "633661498",
            "telephone_number": "636-294-4640",
            "fax_number": "636-294-4641"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1137 N MAIN ST",
            "address_2": "SUITE 2",
            "city": "O FALLON",
            "state": "MO",
            "postal_code": "633661498",
            "telephone_number": "636-294-4640",
            "fax_number": "636-294-4641"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "O'FALLON MARITAL & FAMILY COUNSELING AND WELLNESS CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-08",
        "last_updated": "2013-01-03",
        "status": "A",
        "authorized_official_last_name": "ROWAN",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "PRESIDENT, CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "636-294-4640",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMFT"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": "MO",
            "license": "2009005905",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Marriage & Family Therapist in O Fallon, MO
• Providers in O Fallon, MO by specialty
• Marriage & Family Therapist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.