MEDICARE: ELIM ALLEE LPC 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
1	101YM0800X	Mental Health Counselor

General Provider Information

NPI Number	:	1356299465
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ELIM ALLEE LPC LLC

Provider Business Mailing Address
First Line	:	4660 MARYLAND AVE STE 260C
Second Line	:
City	:	SAINT LOUIS
State	:	MO
Zip	:	63108-1970
Country	:	US
Telephone Number	:	314-827-9151
Fax Number	:

Provider Business Practice Location Address
First Line	:	4660 MARYLAND AVE STE 260C
Second Line	:
City	:	SAINT LOUIS
State	:	MO
Zip	:	63108-1970
Country	:	US
Telephone Number	:	314-827-9151
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	ELIM ALLEE
Credential	:	LPC
Telephone Number	:	314-827-9151

Provider Enumeration Date	:	03/17/2026
Last Update Date	:	03/17/2026

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