Healthcare Provider Details

I. General information

NPI: 1306865944
Provider Name (Legal Business Name): SANDRA K FILER M.A.,L.C.S.W.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/18/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10425 OLD OLIVE STREET RD SUITE209
CREVE COEUR MO
63141-5940
US

IV. Provider business mailing address

10425 OLD OLIVE STREET RD SUITE209
CREVE COEUR MO
63141-5940
US

V. Phone/Fax

Practice location:
  • Phone: 314-995-9578
  • Fax: 636-458-5119
Mailing address:
  • Phone: 314-995-9578
  • Fax: 636-458-5119

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number003206
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: