Organization · Type 2 NPI

Dynamite Coach STL

Professional Counselor · Creve Coeur, MO

NPI number 1992504674 Active

Practice location

745 Craig Rd Ste 100
Creve Coeur, MO 63141-7122

Specialties and licenses

Taxonomy	Code	License
Professional Counselor Primary	101YP2500X	None listed

Professional Counselor: Definition to come...

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NPI record

NPI: 1992504674
Entity type: Organization (Type 2)
Issued: Mar 13, 2025
Last updated: Aug 1, 2025
Status: Active

Other names

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Doorkey Behavioral Health Center · doing business as
Doorkey Behavioral Health Center · doing business as

Authorized official

Tonya Winingar, LPC
Owner
(314) 443-1334

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About NPI 1992504674

Dynamite Coach STL's National Provider Identifier is 1992504674, issued on Mar 13, 2025. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Creve Coeur, MO. The record was last updated on Aug 1, 2025.