Healthcare Provider Details

I. General information

NPI: 1598273120
Provider Name (Legal Business Name): BRITNI HULSER LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/17/2018
Last Update Date: 06/30/2023
Certification Date: 06/30/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

621 S NEW BALLAS RD STE 3015B
SAINT LOUIS MO
63141-8267
US

IV. Provider business mailing address

621 S NEW BALLAS RD STE 3015B
SAINT LOUIS MO
63141-8267
US

V. Phone/Fax

Practice location:
  • Phone: 314-991-5000
  • Fax:
Mailing address:
  • Phone: 314-991-5000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number2021011270
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: