Healthcare Provider Details

I. General information

NPI: 1003491937
Provider Name (Legal Business Name): SCOTT STEVEN HEUER MED, NCC, LPC
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/11/2021
Last Update Date: 03/11/2021
Certification Date: 03/11/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1804 LAFAYETTE AVE FL 2
SAINT LOUIS MO
63104-2508
US

IV. Provider business mailing address

1804 LAFAYETTE AVE FL 2
SAINT LOUIS MO
63104-2508
US

V. Phone/Fax

Practice location:
  • Phone: 314-296-3222
  • Fax:
Mailing address:
  • Phone: 314-296-3222
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: