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General NPI Number Information
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NPI Number | 1700681558
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Entity Type | Organization
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Legal Business Name | THE WAR ROOM
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Dates
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Enumeration Date | 02/17/2025
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Last Update Date | 02/17/2025
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Provider Practice Location Address
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Address Line | 5547 DR MARTIN LUTHER KING DR
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City | SAINT LOUIS
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State | MO
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Zip | 63112-4263
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Country | US
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Telephone | 314-788-1107
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Fax |
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Provider Business Mailing Address
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Address Line | 4867 ANDERSON AVE
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City | SAINT LOUIS
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State | MO
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Zip | 63115-2135
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | DIRECTOR OF SERVICES
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Name | MS. CINDY WELLS
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Credential | BHS
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Telephone | 314-788-1107
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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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 | 251B00000X
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Taxonomy Name | Case Management Agency
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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 | 282J00000X
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Taxonomy Name | Religious Nonmedical Health Care Institution
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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 | 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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