Healthcare Provider Details

I. General information

NPI: 1770421190
Provider Name (Legal Business Name): EMMA KATHERINE CARTER PLPC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/24/2026
Last Update Date: 03/24/2026
Certification Date: 03/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12801 FLUSHING MEADOWS DR STE 250
SAINT LOUIS MO
63131-1829
US

IV. Provider business mailing address

12801 FLUSHING MEADOWS DR STE 250
SAINT LOUIS MO
63131-1829
US

V. Phone/Fax

Practice location:
  • Phone: 314-325-9237
  • Fax:
Mailing address:
  • Phone: 314-325-9237
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number2024046009
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: