Dynamite Coach Stl
NPI #1992504674 in Creve Coeur, Missouri
Provider Information
- NPI Number
- 1992504674
- Entity Type
- Organization
- Organization Name
- Dynamite Coach Stl
- Primary Specialty
- Counselor - Professional
- Enumeration Date
- Mar 13, 2025
- Last Updated
- Aug 1, 2025
Practice Location
- Address
- 745 CRAIG RD STE 100
- City
- Creve Coeur
- State
- Missouri
- ZIP Code
- 63141-7122
- Phone
- (314) 443-1334
Authorized Official
- Name
- TONYA WININGAR, LPC
- Title
- OWNER
- Phone
- (314) 443-1334
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Professional — Professional |
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