GREAT CIRCLE NPI 1730659376

NPI Information

NPI: 1730659376
Provider Name: GREAT CIRCLE
Classification: Counselor - 101YS0200X
Entity Type: Organization

Specialization: School

Address:
330 N GORE AVE
SAINT LOUIS, MO
ZIP 63119
Phone: (314) 968-2060
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GREAT CIRCLE is a school counselor in Saint Louis, MO. GREAT CIRCLE NPI is 1730659376. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

330 N GORE AVE
SAINT LOUIS, MO
ZIP 63119-600
Phone: (314) 968-2060
Fax: (314) 968-8308

The provider's authorized official is Dawn Renee Kliethermes .
The authorized official title is Credentialing Specialist and has the following contact phone number (573) 303-7219.

The CLIA number assigned to this NPI record is 26D2114774 - other - youth residential center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/27/2018 and was last updated on 12/4/2018.

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	Primary
1	1041S0200X	Social Worker	School	No
2	225X00000X	Occupational Therapist		No
3	235Z00000X	Speech-Language Pathologist		No
4	101YS0200X	Counselor	School	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: 4/28/2024

NPI Synchronization or Removal

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