| A Storied Life Counseling Llc | |
|
8000 Bonhomme Ave Ste 321 Clayton MO 63105 | |
| (314) 749-0716 | |
| Not Available |
| Full Name | A Storied Life Counseling Llc |
|---|---|
| Speciality | Social Worker |
| Location | 8000 Bonhomme Ave Ste 321, Clayton, Missouri |
| Authorized Official Name and Position | Julia Stevens (THERAPIST) |
| Authorized Official Contact | 3147490716 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| A Storied Life Counseling Llc 5885 Nina Pl Apt 2w Saint Louis MO 63112-1538 Ph: (314) 749-0716 | A Storied Life Counseling Llc 8000 Bonhomme Ave Ste 321 Clayton MO 63105 Ph: (314) 749-0716 |
| NPI Number | 1457849317 |
|---|---|
| Provider Enumeration Date | 04/26/2018 |
| Last Update Date | 07/20/2018 |
| Medicare PECOS PAC ID | 6406105923 |
|---|---|
| Medicare Enrollment ID | O20180816002354 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457849317 | NPI | - | NPPES |
| 490049131 | Medicaid | MO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 2017041047 (Missouri) | Primary |
| Provider Name | Julia Stevens |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1679095285 PECOS PAC ID: 9537420831 Enrollment ID: I20180301001495 |
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