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NPI Code Detail

MEDICARE: ERIKA R KING, LLC

MEDICARE: ERIKA R KING, 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
1261QM0801XMental Health Clinic/Center (Including Community Mental Health Center)

General Provider Information

NPI Number : 1952044372
Entity Type Code : Organization
Provider Name (Legal Business Name) : ERIKA R KING, LLC
Provider Business Mailing Address
First Line : 4121 UNION RD STE 225
Second Line :
City : SAINT LOUIS
State : MO
Zip : 63129-1093
Country : US
Telephone Number : 314-730-6787
Fax Number : 314-730-6585
Provider Business Practice Location Address
First Line : 4121 UNION RD STE 225
Second Line :
City : SAINT LOUIS
State : MO
Zip : 63129-1093
Country : US
Telephone Number : 314-730-6787
Fax Number : 314-730-6585
Authorized Official
Title or Position : OWNER
Name : ERIKA KING
Credential : MSW, LCSW
Telephone Number : 314-730-6787
Provider Enumeration Date : 04/14/2022
Last Update Date : 04/14/2022

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1831873504 — AMANDA L WOOLLARD MA LPC, LLC
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Practice Fax: 314-730-6585

Directions to “ERIKA R KING, LLC ” Practice Location

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