| Creve Coeur Psychiatric Services | |
|
11709 Old Ballas Rd Ste 104 Saint Louis MO 63141-7029 | |
| (314) 590-3721 | |
| (314) 866-2530 |
| Full Name | Creve Coeur Psychiatric Services |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 11709 Old Ballas Rd Ste 104, Saint Louis, Missouri |
| Authorized Official Name and Position | Adam Sky (OWNER) |
| Authorized Official Contact | 6699000454 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Creve Coeur Psychiatric Services 11709 Old Ballas Rd Ste 104 Saint Louis MO 63141-7029 Ph: () - | Creve Coeur Psychiatric Services 11709 Old Ballas Rd Ste 104 Saint Louis MO 63141-7029 Ph: (314) 590-3721 |
| NPI Number | 1285440891 |
|---|---|
| Provider Enumeration Date | 12/09/2024 |
| Last Update Date | 01/06/2025 |
| Certification Date | 01/06/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285440891 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
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