Healthcare Provider Details

I. General information

NPI: 1497274211
Provider Name (Legal Business Name): GLOBAL COUNSELING NETWORK GCN LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/13/2017
Last Update Date: 08/20/2026
Certification Date: 08/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1200 LAKE SAINT LOUIS BLVD STE 232
LAKE ST LOUIS MO
63367-1325
US

IV. Provider business mailing address

1200 LAKE SAINT LOUIS BLVD STE 232
LAKE ST LOUIS MO
63367-1325
US

V. Phone/Fax

Practice location:
  • Phone: 949-887-8677
  • Fax:
Mailing address:
  • Phone: 949-887-8677
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State

VIII. Authorized Official

Name: MR. KEN MCDONALD
Title or Position: PRESIDENT
Credential:
Phone: 949-887-8677