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

Lifetime Redesign OT, PLLC

Organization Professional Counselor · NPI 1013666403

Lifetime Redesign OT, PLLC is a Professional Counselor in Saint Louis, Missouri. Registered with an NPI since 2022.

In the registry since
2022
Specialties on file
2
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

12395 Olive Blvd Ste 200
Saint Louis, MO 63141-5465
Phone: (646) 319-9017
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Geriatric Medicine (Family Medicine) Physician (primary) Taxonomy 207QG0300X
Professional Counselor Taxonomy 101YP2500X

Record details

NPI number1013666403
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Joseph Mitchell — Authorized Official · (270) 993-4789
NPI enumeratedMarch 22, 2022
Last updated in NPPESMay 29, 2025
Certification dateMay 29, 2025
Mailing address1449 S Michigan Ave Ste 13138, Chicago, IL 60605-2810

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