Healthcare Provider Details

I. General information

NPI: 1861026817
Provider Name (Legal Business Name): CIERA FARRENS PLPC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/28/2020
Last Update Date: 09/14/2026
Certification Date: 09/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1874 HIGHWAY A
WASHINGTON MO
63090-6448
US

IV. Provider business mailing address

780 WOODS CIR APT 2E
EUREKA MO
63025-3838
US

V. Phone/Fax

Practice location:
  • Phone: 314-669-1360
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number2024044743
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: