Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Child and Adolescent Life Therapy

Organization Professional Counselor · NPI 1639736515

Child and Adolescent Life Therapy is a Professional Counselor in Saint Louis, Missouri. Registered with an NPI since 2019.

In the registry since
2019

Practice location Partly verified

Some contact details are missing from the federal record.

4390 Lindell Blvd Ste 200
Saint Louis, MO 63108-2735
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X

Record details

NPI number1639736515
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Courtney Luster — Mental Health Therapist · (314) 440-8468
NPI enumeratedMay 25, 2019
Last updated in NPPESMay 25, 2019
Mailing address4390 Lindell Blvd Ste 200, Saint Louis, MO 63108-2735

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