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COMMUNITY BEHAVIOR HEALTH NPI 1588094312


NPI Information

NPI: 1588094312
Provider Name: COMMUNITY BEHAVIOR HEALTH

Doing Business As: COMMUNITY BEHAVIOR HEALTH

Classification: Counselor - 101YA0400X
Entity Type: Organization

Specialization: Addiction (Substance Use Disorder)

Address:
1027 S VANDEVENTER AVE
SAINT LOUIS, MO
ZIP 63110
Phone: (314) 282-0804
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COMMUNITY BEHAVIOR HEALTH is an addiction (substance use disorder) counselor in Saint Louis, MO. COMMUNITY BEHAVIOR HEALTH NPI is 1588094312. The provider is registered as an organization entity type.
The provider Is Doing Business As Community Behavior Health.

The provider's business location address is:

1027 S VANDEVENTER AVE
SAINT LOUIS, MO
ZIP 63110-800
Phone: (314) 282-0804

The provider's authorized official is Naim Muhammad .
The authorized official title is Director and has the following contact phone number (314) 282-0804.

The enumeration date for this NPI number is 11/14/2013 and was last updated on 7/21/2022.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1385HR2065XRespite CareRespite Care, Physical Disabilities, ChildNo
2251B00000XCase ManagementNo
3261Q00000XClinic/CenterNo
4261QM0801XClinic/CenterMental Health (Including Community Mental Health Center)No
5343900000XNon-emergency Medical Transport (VAN)No
6385HR2055XRespite CareRespite Care, Mental Illness, ChildNo
7101YA0400XCounselorAddiction (Substance Use Disorder)MISSOURIYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11588094312MEDICAIDMISSOURI

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

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