LICENSED PROFESSIONAL COUNSELING SERVICES LLC NPI 1811215528

NPI Information

NPI: 1811215528
Provider Name: LICENSED PROFESSIONAL COUNSELING SERVICES, LLC
Classification: Counselor - 101YM0800X
Entity Type: Organization

Specialization: Mental Health

Address:
225 S MAIN ST
STE. 103
O FALLON, MO
ZIP 63366
Phone: (636) 294-5490
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LICENSED PROFESSIONAL COUNSELING SERVICES, LLC is a mental health counselor in O Fallon, MO. LICENSED PROFESSIONAL COUNSELING SERVICES, LLC NPI is 1811215528. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

225 S MAIN ST
STE. 103
O FALLON, MO
ZIP 63366-866
Phone: (636) 294-5490
Fax: (636) 294-5492

The provider's authorized official is Shannon Roberson .
The authorized official title is Lpc and has the following contact phone number (636) 294-5490.

The enumeration date for this NPI number is 5/6/2010 and was last updated on 5/6/2010.

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	2010012405	MISSOURI	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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