Healthcare Provider Details

I. General information

NPI: 1932342409
Provider Name (Legal Business Name): KARE & THERAPY, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/14/2009
Last Update Date: 04/14/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

680 CRAIG RD
ST. LOUIS MO
63141-7120
US

IV. Provider business mailing address

680 CRAIG RD
SAINT LOUIS MO
63141-7120
US

V. Phone/Fax

Practice location:
  • Phone: 314-994-0100
  • Fax: 314-994-9139
Mailing address:
  • Phone: 314-994-0100
  • Fax: 314-994-9139

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TF0200X
TaxonomyForensic Psychologist
License Number
License Number State

VIII. Authorized Official

Name: DR. WAYNE A STILLINGS
Title or Position: OWNER
Credential: MD
Phone: 314-994-0100