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General NPI Number Information
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NPI Number | 1578125613
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Entity Type | Organization
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Legal Business Name | AUSTIN WILMOT, M.S.W., L.C.S.W., LLC
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Dates
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Enumeration Date | 06/28/2019
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Last Update Date | 08/13/2025
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Provider Practice Location Address
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Address Line | 8000 BONHOMME AVE STE 417
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City | CLAYTON
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State | MO
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Zip | 63105-3515
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Country | US
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Telephone | 314-250-9500
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Fax |
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Provider Business Mailing Address
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Address Line | 8000 BONHOMME AVE STE 417
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City | CLAYTON
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State | MO
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Zip | 63105-3515
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Country | US
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Telephone | 314-250-9500
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | AUSTIN WILMOT
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Credential | MSW, LCSW
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Telephone | 314-250-9500
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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