12 AND BEYOND MO LLC NPI 1093651150

NPI Information

  • NPI: 1093651150
  • Provider Name: 12 AND BEYOND MO LLC
  • Classification: Substance Abuse Rehabilitation Facility - 324500000X
  • Entity Type: Organization
  • Address: 4700 HAMPTON AVE
    SAINT LOUIS, MO
    ZIP 63109
  • Phone: (602) 816-9421

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NPI Details

12 AND BEYOND MO LLC is a substance abuse rehabilitation facility in Saint Louis, MO. The provider is a facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances. 12 AND BEYOND MO LLC NPI is 1093651150. The provider is registered as an organization entity type.

The provider's business location address is:

4700 HAMPTON AVE
SAINT LOUIS, MO
ZIP 63109-718
Phone: (602) 816-9421
Fax: (954) 301-8110

The provider's authorized official is Peter Gifford .
The authorized official title is Chief Executive Officer and has the following contact phone number (602) 816-9421.

The enumeration date for this NPI number is 4/28/2026 and was last updated on 4/28/2026.

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
1251S00000XCommunity/Behavioral HealthNo
2324500000XSubstance Abuse Rehabilitation FacilityYes

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: 11/21/2025

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