| 5 Star Behavioral Health And Wellness, Llc | |
|
6720 Lakeside Hills Dr Florissant MO 63033-5214 | |
| (314) 484-8173 | |
| Not Available |
| Full Name | 5 Star Behavioral Health And Wellness, Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 6720 Lakeside Hills Dr, Florissant, Missouri |
| Authorized Official Name and Position | Tracey Antionette White (OWNER) |
| Authorized Official Contact | 3144848173 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| 5 Star Behavioral Health And Wellness, Llc 6720 Lakeside Hills Dr Florissant MO 63033-5214 Ph: (314) 484-8173 | 5 Star Behavioral Health And Wellness, Llc 6720 Lakeside Hills Dr Florissant MO 63033-5214 Ph: (314) 484-8173 |
| NPI Number | 1578127379 |
|---|---|
| Provider Enumeration Date | 04/26/2019 |
| Last Update Date | 12/23/2021 |
| Certification Date | 12/23/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578127379 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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