Healthcare Provider Details

I. General information

NPI: 1700568300
Provider Name (Legal Business Name): HOPE SPRINGS PSYCHIATRY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/02/2023
Last Update Date: 08/02/2023
Certification Date: 08/02/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

15455 CONWAY RD STE 117
CHESTERFIELD MO
63017-2022
US

IV. Provider business mailing address

27 RIO VISTA DR
SAINT LOUIS MO
63124-1744
US

V. Phone/Fax

Practice location:
  • Phone: 314-388-9855
  • Fax:
Mailing address:
  • Phone: 314-610-4637
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: KATHERINE BUCHOWSKI
Title or Position: EMPLOYEE
Credential: MD
Phone: 314-388-9855