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NPI Code Detail

MEDICARE: SHARPER VISION COUNSELING SERVICES

MEDICARE: SHARPER VISION COUNSELING SERVICES
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
1101YM0800XMental Health Counselor

General Provider Information

NPI Number : 1518606839
Entity Type Code : Organization
Provider Name (Legal Business Name) : SHARPER VISION COUNSELING SERVICES
Provider Business Mailing Address
First Line : 9506 OLIVE BLVD STE 438
Second Line :
City : OLIVETTE
State : MO
Zip : 63132-3104
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 : 314-825-4450
Fax Number : 844-519-7811
Authorized Official
Title or Position : OWNER/THERAPIST
Name : MS. TRACIE G PARNELL
Credential : LPC
Telephone Number : 314-252-8216
Provider Enumeration Date : 06/03/2022
Last Update Date : 08/31/2024

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Practice Location Address:
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Directions to “SHARPER VISION COUNSELING SERVICES ” Practice Location

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