Healthcare Provider Details

I. General information

NPI: 1467915645
Provider Name (Legal Business Name): PLAN YOUR RECOVERY, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/13/2019
Last Update Date: 07/01/2022
Certification Date: 07/01/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9904 CLAYTON RD STE 135
SAINT LOUIS MO
63124-1149
US

IV. Provider business mailing address

922 ROCHDALE DR
SAINT LOUIS MO
63122-2414
US

V. Phone/Fax

Practice location:
  • Phone: 314-222-5896
  • Fax: 314-492-3304
Mailing address:
  • Phone: 314-397-6805
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code261QR0405X
TaxonomySubstance Use Disorder Rehabilitation Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MR. NED PRESNALL
Title or Position: OWNER
Credential: LCSW
Phone: 314-467-8393