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General NPI Number Information
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NPI Number | 1568677805
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Entity Type | Organization
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Legal Business Name | COUNSELING & DEVELOPMENTAL SERVICES OF ST. LOUIS, INC.
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Dates
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Enumeration Date | 05/11/2007
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 909 FEE FEE RD
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City | MARYLAND HEIGHTS
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State | MO
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Zip | 63043-3801
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Country | US
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Telephone | 314-275-7600
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Fax | 314-275-8486
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Provider Business Mailing Address
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Address Line | PO BOX 2182 909 FEE FEE ROAD
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City | MARYLAND HEIGHTS
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State | MO
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Zip | 63043-0982
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Country | US
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Telephone | 314-275-7600
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Fax | 314-275-8486
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Authorized Official
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Title or Position | BUSINESS MANAGER
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Name | MS. TAMMY R HURLEY
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Credential |
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Telephone | 314-275-7600
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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