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MATTHEW WADE WICHT NPI 1912180027


NPI Information

NPI: 1912180027
Provider Name: MATTHEW WADE WICHT

Doing Business As: CONNEXIONS

Classification: Community/Behavioral Health - 251S00000X
Entity Type: Organization
Address:
2222 N US HIGHWAY 67
FLORISSANT, MO
ZIP 63033
Phone: (314) 831-2225
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MATTHEW WADE WICHT is a community behavioral health in Florissant, MO. The provider is a private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. MATTHEW WADE WICHT NPI is 1912180027. The provider is registered as an organization entity type.
The provider Is Doing Business As Connexions.

The provider's business location address is:

2222 N US HIGHWAY 67
FLORISSANT, MO
ZIP 63033-032
Phone: (314) 831-2225

The provider's authorized official is Matthew Wade Wicht .
The authorized official title is Director and has the following contact phone number (636) 225-8877.

The enumeration date for this NPI number is 12/12/2007 and was last updated on 7/30/2008.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1251B00000XCase Management2001014011MISSOURINo
2251B00000XCase Management1035MISSISSIPPINo
3251S00000XCommunity/Behavioral Health1035MISSISSIPPINo
4251S00000XCommunity/Behavioral Health2001014011MISSOURIYes

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

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