Healthcare Provider Details

I. General information

NPI: 1508422858
Provider Name (Legal Business Name): PATIENT ADVOCACY AND EDUCATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/13/2019
Last Update Date: 05/13/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7006 WOODBRIDGE CREEK CT
SAINT LOUIS MO
63129-6419
US

IV. Provider business mailing address

7006 WOODBRIDGE CREEK CT
SAINT LOUIS MO
63129-6419
US

V. Phone/Fax

Practice location:
  • Phone: 314-494-7807
  • Fax:
Mailing address:
  • Phone: 314-494-7807
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251K00000X
TaxonomyPublic Health or Welfare Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: THOMAS AHRENS
Title or Position: OWNER
Credential: PHD
Phone: 314-494-7807