MEDICARE: IN YOUR PRIME COUNSELING LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker

General Provider Information

NPI Number	:	1154806198
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	IN YOUR PRIME COUNSELING LLC

Provider Business Mailing Address
First Line	:	6414 ARSENAL ST
Second Line	:
City	:	SAINT LOUIS
State	:	MO
Zip	:	63139-2431
Country	:	US
Telephone Number	:	314-458-1780
Fax Number	:

Provider Business Practice Location Address
First Line	:	7501 BIG BEND BLVD
Second Line	:
City	:	WEBSTER GROVES
State	:	MO
Zip	:	63119-2103
Country	:	US
Telephone Number	:	314-492-4242
Fax Number	:	314-293-6871

Authorized Official
Title or Position	:	OWNER
Name	:	SCOTT THOMAS MORROW
Credential	:	MSW, LCSW
Telephone Number	:	314-492-4242

Provider Enumeration Date	:	09/26/2018
Last Update Date	:	08/22/2022

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