PROVIDENT INC. NPI 1710023791

NPI Information

NPI: 1710023791
Provider Name: PROVIDENT INC.

Doing Business As: PROVIDENT BEHAVIORAL HEALTH

Classification: Counselor - 101YM0800X
Entity Type: Organization

Specialization: Mental Health

Address:
2650 OLIVE ST
SAINT LOUIS, MO
ZIP 63103
Phone: (314) 371-6500
Get Directions

PROVIDENT INC. is a mental health counselor in Saint Louis, MO. PROVIDENT INC. NPI is 1710023791. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Provident Behavioral Health.

The provider's business location address is:

2650 OLIVE ST
SAINT LOUIS, MO
ZIP 63103-424
Phone: (314) 371-6500
Fax: (314) 371-1155

The provider's authorized official is Kathy S Schlemmer .
The authorized official title is Relations Coordinator and has the following contact phone number (314) 802-2647.

The enumeration date for this NPI number is 1/29/2007 and was last updated on 10/5/2022.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health			No
2	101YM0800X	Counselor	Mental Health			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	MA5670	OTHER	MISSOURI	MEDICARE ID

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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