Healthcare Provider Details

I. General information

NPI: 1497916373
Provider Name (Legal Business Name): LEARNING CONSULTANTS-ST. CHARLES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/23/2008
Last Update Date: 06/23/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

115 OLYMPIC WAY
SAINT PETERS MO
63376-1664
US

IV. Provider business mailing address

115 OLYMPIC WAY
SAINT PETERS MO
63376-1664
US

V. Phone/Fax

Practice location:
  • Phone: 636-498-0776
  • Fax: 636-498-0778
Mailing address:
  • Phone: 636-498-0776
  • Fax: 636-498-0778

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code172V00000X
TaxonomyCommunity Health Worker
License Number
License Number State

VIII. Authorized Official

Name: MS. JOAN S. BATES
Title or Position: EXECUTIVE DIRECTOR
Credential: LPC
Phone: 636-498-0776