Provider Demographics
NPI:1366236515
Name:UNBURDENED HEART COUNSELING & CONSULTATION, LLC
Entity type:Organization
Organization Name:UNBURDENED HEART COUNSELING & CONSULTATION, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER AND LEAD THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:QUIN
Authorized Official - Middle Name:MARILYN
Authorized Official - Last Name:RICH
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:314-303-2528
Mailing Address - Street 1:5825 SOUTHWEST AVE APT 7
Mailing Address - Street 2:
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63139-1653
Mailing Address - Country:US
Mailing Address - Phone:314-303-2528
Mailing Address - Fax:
Practice Address - Street 1:5825 SOUTHWEST AVE APT 7
Practice Address - Street 2:
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63139-1653
Practice Address - Country:US
Practice Address - Phone:314-303-2528
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-04-04
Last Update Date:2025-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health