Healthcare Provider Details

I. General information

NPI: 1669733598
Provider Name (Legal Business Name): MCLAUGHLIN & ASSOCIATES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/07/2012
Last Update Date: 06/07/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8420 DELMAR BLVD. SUITE 202
ST. LOUIS MO
63124-2109
US

IV. Provider business mailing address

P.O. BOX 153
CHESTERFIELD MO
63006
US

V. Phone/Fax

Practice location:
  • Phone: 314-307-6648
  • Fax: 636-530-7552
Mailing address:
  • Phone: 314-307-6648
  • Fax: 636-530-7552

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WP0808X
TaxonomyPsychiatric/Mental Health Registered Nurse
License Number054789
License Number StateMO

VIII. Authorized Official

Name: DR. DORCAS ELISABETH MCLAUGHLIN
Title or Position: ADVANCED PRACTICE NURSE PMHCNS
Credential: PHD, APRN
Phone: 314-307-6648