PROVIDENT INC. NPI 1710023791

NPI Information

  • NPI: 1710023791
  • Provider Name: PROVIDENT INC.
  • Classification: Counselor - 101YM0800X
  • Specialization: Mental Health
  • Entity Type: Organization
  • Doing Business As: PROVIDENT BEHAVIORAL HEALTH
  • Address: 2650 OLIVE ST
    SAINT LOUIS, MO
    ZIP 63103
  • Phone: (314) 371-6500

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NPI Details

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
1363LP0808XNurse PractitionerPsychiatric/Mental HealthNo
2101YM0800XCounselorMental HealthYes

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
1MA5670OTHERMISSOURIMEDICARE 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: 3/30/2025

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