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NPI Code Detail

MEDICARE: CALM MIND CBT, LLC

MEDICARE: CALM MIND CBT, LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261QM0850XAdult Mental Health Clinic/Center2014007327MO
2261QM0855XAdolescent and Children Mental Health Clinic/Center2014007327MO

General Provider Information

NPI Number : 1144715319
Entity Type Code : Organization
Provider Name (Legal Business Name) : CALM MIND CBT, LLC
Provider Business Mailing Address
First Line : 1034 S BRENTWOOD BLVD STE 555
Second Line :
City : RICHMOND HEIGHTS
State : MO
Zip : 63117-1265
Country : US
Telephone Number : 314-669-4295
Fax Number :
Provider Business Practice Location Address
First Line : 1034 S BRENTWOOD BLVD STE 555
Second Line :
City : RICHMOND HEIGHTS
State : MO
Zip : 63117-1265
Country : US
Telephone Number : 314-669-4295
Fax Number :
Authorized Official
Title or Position : OWNER, PSYCHOTHERAPIST
Name : ANGELA ADAMSON
Credential : LCSW
Telephone Number : 847-863-3411
Provider Enumeration Date : 06/28/2018
Last Update Date : 06/28/2018

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