SOULARD PLACE LLC NPI 1710697404

NPI Information

NPI: 1710697404
Provider Name: SOULARD PLACE LLC

Doing Business As: ELLIE MENTAL HEALTH

Classification: Counselor - 101YM0800X
Entity Type: Organization

Specialization: Mental Health

Address:
1300 HAMPTON AVE STE 200
SAINT LOUIS, MO
ZIP 63139
Phone: (917) 742-4512
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SOULARD PLACE LLC is a mental health counselor in Saint Louis, MO. SOULARD PLACE LLC NPI is 1710697404. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Ellie Mental Health.

The provider's business location address is:

1300 HAMPTON AVE STE 200
SAINT LOUIS, MO
ZIP 63139-163
Phone: (917) 742-4512

The provider's authorized official is Joseph Schlichter .
The authorized official title is Owner and has the following contact phone number (917) 742-4512.

The enumeration date for this NPI number is 12/2/2022 and was last updated on 3/22/2024.

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			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: 5/5/2024

NPI Synchronization or Removal

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