Healthcare Provider Details

I. General information

NPI: 1326971565
Provider Name (Legal Business Name): ROBYN SALVIA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/06/2026
Last Update Date: 06/06/2026
Certification Date: 06/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3109 S GRAND BLVD
SAINT LOUIS MO
63118-1039
US

IV. Provider business mailing address

4938 QUINCY ST
SAINT LOUIS MO
63109-4031
US

V. Phone/Fax

Practice location:
  • Phone: 314-800-6022
  • Fax:
Mailing address:
  • Phone: 314-800-6022
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number2025051301
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: