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NPI Code Detail

MEDICARE: LOVE & KINDNESS THERAPEUTIC SERVICES LLC

MEDICARE: LOVE & KINDNESS THERAPEUTIC SERVICES LLC
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
1106H00000XMarriage & Family TherapistM2017030505MO
2251S00000XCommunity/Behavioral Health AgencyM2017030505MO
31041C0700XClinical Social WorkerM2017030505MO

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 : 1851818827
Entity Type Code : Organization
Provider Name (Legal Business Name) : LOVE & KINDNESS THERAPEUTIC SERVICES LLC
Provider Business Mailing Address
First Line : 4625 LINDELL BLVD FL 2
Second Line :
City : SAINT LOUIS
State : MO
Zip : 63108-3739
Country : US
Telephone Number : 314-873-7759
Fax Number : 480-471-8189
Provider Business Practice Location Address
First Line : 4625 LINDELL BLVD FL 2
Second Line :
City : SAINT LOUIS
State : MO
Zip : 63108-3739
Country : US
Telephone Number : 314-873-7759
Fax Number : 480-471-8189
Authorized Official
Title or Position : LICENSED CLINICAL SOCIAL WORKER
Name : ALANA M ARMS
Credential : LCSW
Telephone Number : 314-873-7759
Provider Enumeration Date : 08/29/2017
Last Update Date : 12/01/2021

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Directions to “LOVE & KINDNESS THERAPEUTIC SERVICES LLC ” Practice Location

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