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General NPI Number Information
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NPI Number | 1841006624
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Entity Type | Organization
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Legal Business Name | THERAPY DESK
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Dates
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Enumeration Date | 12/06/2024
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Last Update Date | 07/02/2025
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Provider Practice Location Address
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Address Line | 100 WASHINGTON ST
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City | FLORISSANT
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State | MO
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Zip | 63031-5921
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Country | US
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Telephone | 314-798-6238
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Fax | 314-798-6096
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Provider Business Mailing Address
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Address Line | 1959 MEADOW TRAILS DR
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City | FLORISSANT
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State | MO
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Zip | 63031-1063
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Country | US
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Telephone | 314-798-6238
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | EBONY C SMITH
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Credential | LPC
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Telephone | 417-522-4317
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number |
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License Number State |
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