OrganizationActive
Diversified Health and Wellness
NPI 1962976084 · Public Health or Welfare Agency · Kirkwood, MO
Provider details
- NPI number
- 1962976084
- Entity type
- Organization
- Primary specialty
- Public Health or Welfare AgencyAgencies
- Organization subpart
- No
- Authorized official
- Marsha Bradford, Owner(314) 698-4266
Specialties & taxonomies
Agencies
- Mental Health Counselor101YM0800X
Behavioral Health & Social Service Providers
Practice location
11042 Manchester Rd
Kirkwood, MO 63122-1244
Phone: (844) 462-3492
Fax: (314) 596-4559
Approximate (ZIP-level) locationGet directions
Mailing address
11042 Manchester Rd
Kirkwood, MO 63122-1244
Registry dates
- Enumerated
- 2019-01-12
- Last updated
- 2025-01-22
- Certified
- 2025-01-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.