Healthcare Provider Details

I. General information

NPI: 1205751377
Provider Name (Legal Business Name): ASTRID EDENS ENDSLEY M.S., PLPC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/10/2026
Last Update Date: 08/28/2026
Certification Date: 08/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12141 LADUE RD
CREVE COEUR MO
63141-8120
US

IV. Provider business mailing address

2650 OLIVE ST
SAINT LOUIS MO
63103-1489
US

V. Phone/Fax

Practice location:
  • Phone: 314-898-0100
  • Fax:
Mailing address:
  • Phone: 314-371-6500
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number2026036279
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: