ELISHA CHANTILLY LINNEN-GLASS NPI 1023666278

NPI Information

NPI: 1023666278
Provider Name: ELISHA CHANTILLY LINNEN-GLASS
Classification: Counselor - 101YM0800X
Entity Type: Individual

Specialization: Mental Health

PECOS Registration: Yes

Address:
5471 DR MARTIN LUTHER KING DR
SAINT LOUIS, MO
ZIP 63112
Phone: (314) 367-5820
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Elisha Chantilly Linnen-glass is a mental health counselor in Saint Louis, MO. Elisha Chantilly Linnen-glass NPI is 1023666278. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

5471 DR MARTIN LUTHER KING DR
SAINT LOUIS, MO
ZIP 63112-265
Phone: (314) 367-5820

The NPI 1023666278 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment.

The enumeration date for this NPI number is 8/30/2019 and was last updated on 10/19/2023.

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			No
2	101YM0800X	Counselor	Mental Health	2020006401	MISSOURI	Yes

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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