Healthcare Provider Details

I. General information

NPI: 1154267623
Provider Name (Legal Business Name): EMBER PSYCHOTHERAPY GROUP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/27/2026
Last Update Date: 04/27/2026
Certification Date: 04/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6845 PLYMOUTH AVE
SAINT LOUIS MO
63130-2417
US

IV. Provider business mailing address

6845 PLYMOUTH AVE
SAINT LOUIS MO
63130-2417
US

V. Phone/Fax

Practice location:
  • Phone: 314-250-7237
  • Fax:
Mailing address:
  • Phone: 314-250-7237
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number
License Number State

VIII. Authorized Official

Name: DR. BRITTNEY SHAWNESE BROOKS
Title or Position: OWNER
Credential:
Phone: 314-250-7237