MEDICARE: METRO TREATMENT OF MISSOURI, LP

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	261QM2800X	Methadone Clinic
2	3336C0002X	Clinic Pharmacy	2968	MO
3	251S00000X	Community/Behavioral Health Agency	3125-6924	MO

General Provider Information

NPI Number	:	1780890210
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	METRO TREATMENT OF MISSOURI, LP

Provider Business Mailing Address
First Line	:	2500 MAITLAND CENTER PARKWAY
Second Line	:	SUITE 250
City	:	MAITLAND
State	:	FL
Zip	:	32751-4174
Country	:	US
Telephone Number	:	407-351-7080
Fax Number	:	407-351-6930

Provider Business Practice Location Address
First Line	:	9733 ST CHARLES ROCK RD
Second Line	:
City	:	BRECKINRIDGE HILLS
State	:	MO
Zip	:	63114-2625
Country	:	US
Telephone Number	:	314-423-7030
Fax Number	:	314-423-9511

Authorized Official
Title or Position	:	VICE PRESIDENT
Name	:	MR. RODNEY WILLIAMS
Credential	:
Telephone Number	:	407-581-5157

Provider Enumeration Date	:	05/14/2007
Last Update Date	:	08/08/2019

Similar Medicare Providers

1932714011 — JUDY S RUFUS
Practice Location Address:

9733 SAINT CHARLES ROCK RD
BRECKENRIDGE HILLS, MO
63114-2625

Practice Phone: 314-423-7030
Practice Fax:

1851062525 — BRIAN MASAT
Practice Location Address:

9733 SAINT CHARLES ROCK RD
BRECKENRIDGE HILLS, MO
63114-2625

Practice Phone: 314-423-7030
Practice Fax:

1265130256 — SIMONE D SPRINGFIELD CADC
Practice Location Address:

9733 SAINT CHARLES ROCK RD
BRECKENRIDGE HILLS, MO
63114-2625

Practice Phone: 314-423-7030
Practice Fax:

1720893050 — LEILANI LIDDELL CRADC
Practice Location Address:

9733 SAINT CHARLES ROCK RD
BRECKENRIDGE HILLS, MO
63114-2625

Practice Phone: 314-574-5926
Practice Fax:

1467067504 — ANNE MARGARET PERKINS LPC
Practice Location Address:

9733 SAINT CHARLES ROCK RD
SAINT LOUIS, MO
63114-2625

Practice Phone: 816-233-7300
Practice Fax: 314-423-9511

1578227716 — BRITTANY RICE
Practice Location Address:

9639 FOSTER AVE
BRECKENRIDGE HILLS, MO
63114-2811

Practice Phone: 314-891-7282
Practice Fax:

Directions to “METRO TREATMENT OF MISSOURI, LP ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.