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NPI Code Detail

MEDICARE: ABC COUNSELING SERVICES

MEDICARE: ABC 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
1251S00000XCommunity/Behavioral Health Agency2008011056MO

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1588016562
Entity Type Code : Organization
Provider Name (Legal Business Name) : ABC COUNSELING SERVICES
Provider Business Mailing Address
First Line : 2614 N 14TH ST
Second Line :
City : SAINT LOUIS
State : MO
Zip : 63106-3913
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2614 N 14TH ST
Second Line :
City : SAINT LOUIS
State : MO
Zip : 63106-3913
Country : US
Telephone Number : 314-570-5553
Fax Number :
Authorized Official
Title or Position : LICENSED PROFESSIONAL COUNSELOR
Name : AKITA BOYCE-COLE
Credential : LPC
Telephone Number : 314-570-5553
Provider Enumeration Date : 07/01/2016
Last Update Date : 07/01/2016

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Directions to “ABC COUNSELING SERVICES ” Practice Location

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