Healthcare Provider Details

I. General information

NPI: 1497274211
Provider Name (Legal Business Name): GLOBAL COUNSELING NETWORK
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/13/2017
Last Update Date: 09/13/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3115 S GRAND BLVD STE 400
SAINT LOUIS MO
63118-1048
US

IV. Provider business mailing address

3115 S GRAND BLVD STE 400
SAINT LOUIS MO
63118-1048
US

V. Phone/Fax

Practice location:
  • Phone: 865-317-4525
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State

VIII. Authorized Official

Name: MR. MICHAEL SENSE
Title or Position: FOUNDER, DIRECTOR
Credential:
Phone: 317-289-0269