| A Place Within, Llc | |
|
4507 Laclede Ave Saint Louis MO 63108-2103 | |
| (314) 579-4044 | |
| (314) 579-4046 |
| Full Name | A Place Within, Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 4507 Laclede Ave, Saint Louis, Missouri |
| Authorized Official Name and Position | Jordan Lea Prebys (OWNER/THERAPIST) |
| Authorized Official Contact | 3145794044 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| A Place Within, Llc 4507 Laclede Ave Saint Louis MO 63108-2103 Ph: (314) 579-4044 | A Place Within, Llc 4507 Laclede Ave Saint Louis MO 63108-2103 Ph: (314) 579-4044 |
| NPI Number | 1376134825 |
|---|---|
| Provider Enumeration Date | 01/28/2021 |
| Last Update Date | 01/28/2021 |
| Certification Date | 12/23/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376134825 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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