Healthcare Provider Details

I. General information

NPI: 1255268538
Provider Name (Legal Business Name): LUCY KARIMI
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/08/2026
Last Update Date: 05/08/2026
Certification Date: 05/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1550 WALL ST
SAINT CHARLES MO
63303-3545
US

IV. Provider business mailing address

1550 WALL ST
SAINT CHARLES MO
63303-3545
US

V. Phone/Fax

Practice location:
  • Phone: 636-489-3555
  • Fax:
Mailing address:
  • Phone: 636-489-3555
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number2026018092
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: