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NPI Code Detail

MEDICARE: ALENA ARMSTEAD

MEDICARE: ALENA ARMSTEAD
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
1101YP2500XProfessional Counselor2023016203MO

General Provider Information

NPI Number : 1457072167
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALENA ARMSTEAD
Provider Business Mailing Address
First Line : 2122 KRATKY RD STE 100
Second Line :
City : SAINT LOUIS
State : MO
Zip : 63114-1706
Country : US
Telephone Number : 314-252-8216
Fax Number : 844-519-7811
Provider Business Practice Location Address
First Line : 2122 KRATKY RD STE 100
Second Line :
City : SAINT LOUIS
State : MO
Zip : 63114-1706
Country : US
Telephone Number : 314-252-8216
Fax Number : 844-519-7811
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/09/2022
Last Update Date : 08/31/2024

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Directions to “ ALENA ARMSTEAD ” Practice Location

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