Healthcare Provider Details

I. General information

NPI: 1003586884
Provider Name (Legal Business Name): ERIN LOEBNER MSED, LCPC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/14/2021
Last Update Date: 04/07/2026
Certification Date: 04/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1034 S BRENTWOOD BLVD STE 1550
SAINT LOUIS MO
63117-1229
US

IV. Provider business mailing address

1034 S BRENTWOOD BLVD STE 1550
SAINT LOUIS MO
63117-1229
US

V. Phone/Fax

Practice location:
  • Phone: 618-462-2331
  • Fax:
Mailing address:
  • Phone: 314-408-5189
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number180.016840
License Number StateIL
# 2
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number180.016840
License Number StateIL
# 3
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number2025053494
License Number StateMO
# 4
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number2025053494
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: