BRENDA LEE CASEY LLC NPI 1033424585

NPI Information

NPI: 1033424585
Provider Name: BRENDA LEE CASEY, LLC
Classification: Counselor - 101YM0800X
Entity Type: Organization

Specialization: Mental Health

Address:
106 FOUR SEASONS SHOPPING CTR
SUITE 103B
CHESTERFIELD, MO
ZIP 63017
Phone: (636) 484-2733
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BRENDA LEE CASEY, LLC is a mental health counselor in Chesterfield, MO. BRENDA LEE CASEY, LLC NPI is 1033424585. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

106 FOUR SEASONS SHOPPING CTR
SUITE 103B
CHESTERFIELD, MO
ZIP 63017-173
Phone: (636) 484-2733
Fax: (314) 392-9558

The provider's authorized official is Brenda Lee Casey .
The authorized official title is Counselor and has the following contact phone number (636) 484-2733.

The enumeration date for this NPI number is 8/9/2010 and was last updated on 8/9/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YM0800X	Counselor	Mental Health	2002029846	MISSOURI	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	497394809	MEDICAID	MISSOURI

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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