Healthcare Provider Details

I. General information

NPI: 1871957621
Provider Name (Legal Business Name): CAITLIN WINKLER M.S., PLPC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/07/2016
Last Update Date: 10/04/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1654 BRYAN RD
O'FALLON MO
63368
US

IV. Provider business mailing address

801 S WOODLAWN
O FALLON MO
63366-7646
US

V. Phone/Fax

Practice location:
  • Phone: 636-344-0433
  • Fax:
Mailing address:
  • Phone: 636-344-0433
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: