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

Ethan Timm

Individual provider Counselor · NPI 1396622882

Ethan Timm is a Counselor in Chesterfield, Missouri. Registered with an NPI since 2025.

In the registry since
2025

Practice location Address checks out

15455 Conway Rd
Chesterfield, MO 63017-6022
Phone: (636) 675-7566
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Counselor (primary) Taxonomy 101Y00000X

Record details

NPI number1396622882
Entity typeIndividual (Type 1)
GenderNot disclosed
Sole proprietorNo
NPI enumeratedAugust 18, 2025
Last updated in NPPESAugust 18, 2025
Certification dateAugust 18, 2025
Mailing address15455 Conway Rd, Chesterfield, MO 63017-6022

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