MEDICARE: ANXIETY THERAPISTS

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	101YP2500X	Professional Counselor
2	1041C0700X	Clinical Social Worker

General Provider Information

NPI Number	:	1831925510
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ANXIETY THERAPISTS

Provider Business Mailing Address
First Line	:	525 S FILLMORE AVE
Second Line	:
City	:	SAINT LOUIS
State	:	MO
Zip	:	63122-6212
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	710 S KIRKWOOD RD STE 4
Second Line	:
City	:	KIRKWOOD
State	:	MO
Zip	:	63122-5929
Country	:	US
Telephone Number	:	314-742-8644
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	MEREDITH BEARD
Credential	:	LCSW
Telephone Number	:	618-219-5691

Provider Enumeration Date	:	09/10/2024
Last Update Date	:	09/10/2024

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Directions to “ANXIETY THERAPISTS ” Practice Location

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