Healthcare Provider Details

I. General information

NPI: 1831526052
Provider Name (Legal Business Name): SIMRAN BEHAVIORAL HEALTH
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/02/2013
Last Update Date: 10/02/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9326 OLIVE BLVD
SAINT LOUIS MO
63132-3525
US

IV. Provider business mailing address

9326 OLIVE BLVD
SAINT LOUIS MO
63132-3525
US

V. Phone/Fax

Practice location:
  • Phone: 314-725-5556
  • Fax: 314-925-7538
Mailing address:
  • Phone: 314-725-5556
  • Fax: 314-925-7538

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State

VIII. Authorized Official

Name: HARMEETA SINGH
Title or Position: MANAGER
Credential:
Phone: 314-369-5960