Provider Demographics
NPI:1548098395
Name:TJM COUNSELING AND CONSULTATION LLC
Entity type:Organization
Organization Name:TJM COUNSELING AND CONSULTATION LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER/THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:TIA
Authorized Official - Middle Name:JENICE
Authorized Official - Last Name:MORRIS
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:314-324-1642
Mailing Address - Street 1:15009 MANCHESTER RD STE 253
Mailing Address - Street 2:
Mailing Address - City:BALLWIN
Mailing Address - State:MO
Mailing Address - Zip Code:63011-4626
Mailing Address - Country:US
Mailing Address - Phone:314-648-8605
Mailing Address - Fax:
Practice Address - Street 1:329 BOLTON DR
Practice Address - Street 2:
Practice Address - City:BALLWIN
Practice Address - State:MO
Practice Address - Zip Code:63011-5010
Practice Address - Country:US
Practice Address - Phone:314-324-1642
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-07-23
Last Update Date:2024-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty