| C Katke Counseling Services Llc | |
|
2200 W Port Plaza Dr Ste 326 Saint Louis MO 63146-3214 | |
| (314) 548-2121 | |
| (636) 333-4510 |
| Full Name | C Katke Counseling Services Llc |
|---|---|
| Speciality | Social Worker |
| Location | 2200 W Port Plaza Dr Ste 326, Saint Louis, Missouri |
| Authorized Official Name and Position | Christy Katke (OWNER) |
| Authorized Official Contact | 3145482121 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| C Katke Counseling Services Llc 15455 Manchester Rd Unit 161 Ballwin MO 63022-5008 Ph: (314) 548-2121 | C Katke Counseling Services Llc 2200 W Port Plaza Dr Ste 326 Saint Louis MO 63146-3214 Ph: (314) 548-2121 |
| NPI Number | 1932586740 |
|---|---|
| Provider Enumeration Date | 04/30/2015 |
| Last Update Date | 08/07/2023 |
| Certification Date | 08/07/2023 |
| Medicare PECOS PAC ID | 8123349701 |
|---|---|
| Medicare Enrollment ID | O20150608002005 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932586740 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | SW005494 (Missouri) | Primary |
| Provider Name | Christy D Katke |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1093816720 PECOS PAC ID: 3678546934 Enrollment ID: I20040816000247 |
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