Healthcare Provider Details

I. General information

NPI: 1033847868
Provider Name (Legal Business Name): D KRANKEL COUNSELING SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/10/2022
Last Update Date: 08/10/2022
Certification Date: 08/10/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

655 CRAIG RD STE 310
SAINT LOUIS MO
63141-7171
US

IV. Provider business mailing address

PO BOX 37044
SAINT LOUIS MO
63141-1544
US

V. Phone/Fax

Practice location:
  • Phone: 618-979-3877
  • Fax: 636-333-4510
Mailing address:
  • Phone: 618-979-3877
  • Fax: 636-333-4510

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name: DEANNA KRANKEL
Title or Position: OWNER/LCSW
Credential: LCSW
Phone: 618-979-3877