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NPI Code Detail

MEDICARE: COUNSELING & DEVELOPMENTAL SERVICES OF ST. LOUIS, INC.

MEDICARE: COUNSELING & DEVELOPMENTAL SERVICES OF ST. LOUIS, INC.
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
2103T00000XPsychologist
3106H00000XMarriage & Family Therapist
41041C0700XClinical Social Worker

General Provider Information

NPI Number : 1568677805
Entity Type Code : Organization
Provider Name (Legal Business Name) : COUNSELING & DEVELOPMENTAL SERVICES OF ST. LOUIS, INC.
Provider Business Mailing Address
First Line : PO BOX 2182
Second Line : 909 FEE FEE ROAD
City : MARYLAND HEIGHTS
State : MO
Zip : 63043-0982
Country : US
Telephone Number : 314-275-7600
Fax Number : 314-275-8486
Provider Business Practice Location Address
First Line : 909 FEE FEE RD
Second Line :
City : MARYLAND HEIGHTS
State : MO
Zip : 63043-3801
Country : US
Telephone Number : 314-275-7600
Fax Number : 314-275-8486
Authorized Official
Title or Position : BUSINESS MANAGER
Name : MS. TAMMY R HURLEY
Credential :
Telephone Number : 314-275-7600
Provider Enumeration Date : 05/11/2007
Last Update Date : 09/11/2025

Similar Medicare Providers

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Practice Location Address:
915 FEE FEE RD
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1295854396 — MS. DEANNA BOSSE LPC
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1063531184 — MR. MATTHEW JIRAUCH LCSW, CSACII
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Practice Fax: 314-275-8486
1114046232 — FRANCIS REISS LPC
Practice Location Address:
909 FEE FEE RD
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1225157332 — MR. DENNIS ELLIOTT LPC
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1164544995 — RAYMOND POON LPC
Practice Location Address:
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