PROVIDENT COUNSELING NPI 1639350614

NPI Information

PROVIDENT COUNSELING is a mental health counselor in Saint Louis, MO. PROVIDENT COUNSELING NPI is 1639350614. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

6555 CHIPPEWA ST
SUITE 150
SAINT LOUIS, MO
ZIP 63109-110
Phone: (314) 898-0101
Fax: (314) 645-0026

The provider's authorized official is Kathleen Buescher .
The authorized official title is Ceo and has the following contact phone number (314) 371-6500.

The CLIA number assigned to this NPI record is 26D2177026 - other - outpatient behavorial hea with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/19/2007 and was last updated on 11/19/2007.

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:

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