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NPI Code Detail

MEDICARE: MR. COREY L HANCOCK JR. PLPC

MEDICARE: MR. COREY L HANCOCK JR. PLPC
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
1101YP2500XProfessional CounselorMO

General Provider Information

NPI Number : 1871445346
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. COREY L HANCOCK JR. PLPC
Provider Business Mailing Address
First Line : 2901 UNIVERSITY MEADOWS DR APT 638
Second Line :
City : SAINT LOUIS
State : MO
Zip : 63121-4627
Country : US
Telephone Number : 443-823-5530
Fax Number :
Provider Business Practice Location Address
First Line : 2901 UNIVERSITY MEADOWS DR APT 638
Second Line :
City : SAINT LOUIS
State : MO
Zip : 63121-4627
Country : US
Telephone Number : 443-823-5530
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/09/2026
Last Update Date : 02/09/2026

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