Healthcare Provider Details

I. General information

NPI: 1548172281
Provider Name (Legal Business Name): TELE-MIND HEALTH LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

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

III. Provider practice location address

4342 BRISTOL VIEW CT
SAINT LOUIS MO
63129-6724
US

IV. Provider business mailing address

4342 BRISTOL VIEW CT
SAINT LOUIS MO
63129-6724
US

V. Phone/Fax

Practice location:
  • Phone: 503-773-5174
  • Fax: 458-217-7775
Mailing address:
  • Phone: 503-773-5174
  • Fax: 458-217-7775

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: CHRIS ELAINE ROBERTS
Title or Position: CEO
Credential: PMHNP-BC
Phone: 503-773-5174