Susan Wise, LPC | |
711 Old Ballas Rd., Suite 203, Creve Coeur, MO 63141 | |
(314) 569-2253 | |
(314) 569-2280 |
Full Name | Susan Wise |
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Gender | Female |
Speciality | Counselor - Professional |
Location | 711 Old Ballas Rd., Creve Coeur, Missouri |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1912353715 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101Y00000X | Counselor | 000510 (Missouri) | Secondary |
101YP2500X | Counselor - Professional | 000510 (Missouri) | Primary |
Entity Name | Thrive Counseling Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1215181300 PECOS PAC ID: 0749458420 Enrollment ID: O20210721003011 |
Mailing Address | Practice Location Address |
---|---|
Susan Wise, LPC 711 Old Ballas Rd., Suite 203, Creve Coeur, MO 63141 Ph: (314) 569-2253 | Susan Wise, LPC 711 Old Ballas Rd., Suite 203, Creve Coeur, MO 63141 Ph: (314) 569-2253 |
Tim Gravier, LPC Counselor Medicare: Medicare Enrolled Practice Location: 770 Aramis Dr, Creve Coeur, MO 63141 Phone: 314-807-4880 | |
Ms. Marla Kaye Wallace, M.A., PLPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 967 Gardenview Office Pkwy, Creve Coeur, MO 63141 Phone: 314-561-9757 | |
Mrs. Karen Cole, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 655 Craig Rd, Suite 318, Creve Coeur, MO 63141 Phone: 314-717-0360 | |
Ms. Vatel Arre Jackson, Counselor Medicare: Not Enrolled in Medicare Practice Location: 12647 Olive Blvd Ste 200, Creve Coeur, MO 63141 Phone: 314-469-4908 | |
Evonne Weinhaus, LCSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 662 N New Ballas Rd, Creve Coeur, MO 63141 Phone: 314-499-9144 Fax: 314-499-9188 | |
Craig F Politte, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 655 Craig Rd, Suite 318, Creve Coeur, MO 63141 Phone: 314-720-8730 | |
Christine Marie Underwood Elder, MA Counselor Medicare: Not Enrolled in Medicare Practice Location: 967 Gardenview Office Pkwy, Creve Coeur, MO 63141 Phone: 314-561-9757 |