Healthcare Provider Details

I. General information

NPI: 1518735737
Provider Name (Legal Business Name): PUMPIE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/18/2023
Last Update Date: 04/09/2026
Certification Date: 04/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8112 MARYLAND AVE STE 400
SAINT LOUIS MO
63105-3700
US

IV. Provider business mailing address

8112 MARYLAND AVE STE 400
SAINT LOUIS MO
63105-3700
US

V. Phone/Fax

Practice location:
  • Phone: 314-348-4820
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code374J00000X
TaxonomyDoula
License Number
License Number State

VIII. Authorized Official

Name: HELEN CIESIELSKI
Title or Position: MANAGER
Credential:
Phone: 314-348-4820