Healthcare Provider Details

I. General information

NPI: 1356299465
Provider Name (Legal Business Name): ELIM ALLEE LPC LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/17/2026
Last Update Date: 03/17/2026
Certification Date: 03/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4660 MARYLAND AVE STE 260C
SAINT LOUIS MO
63108-1970
US

IV. Provider business mailing address

4660 MARYLAND AVE STE 260C
SAINT LOUIS MO
63108-1970
US

V. Phone/Fax

Practice location:
  • Phone: 314-827-9151
  • Fax:
Mailing address:
  • Phone: 314-827-9151
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name: ELIM ALLEE
Title or Position: OWNER
Credential: LPC
Phone: 314-827-9151