| Brenda Lee Casey, Llc | |
|
106 Four Seasons Shopping Ctr Suite 103b Chesterfield MO 63017-3173 | |
| (636) 484-2733 | |
| (314) 392-9558 |
| Full Name | Brenda Lee Casey, Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 106 Four Seasons Shopping Ctr, Chesterfield, Missouri |
| Authorized Official Name and Position | Brenda Lee Casey (COUNSELOR) |
| Authorized Official Contact | 6364842733 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Brenda Lee Casey, Llc 106 Four Seasons Shopping Ctr Suite 103b Chesterfield MO 63017-3173 Ph: (636) 484-2733 | Brenda Lee Casey, Llc 106 Four Seasons Shopping Ctr Suite 103b Chesterfield MO 63017-3173 Ph: (636) 484-2733 |
| NPI Number | 1033424585 |
|---|---|
| Provider Enumeration Date | 08/09/2010 |
| Last Update Date | 08/09/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033424585 | NPI | - | NPPES |
| 497394809 | Medicaid | MO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 2002029846 (Missouri) | Primary |
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