| Equilibrium Mental Health Services, Llc | |
|
5700 Mexico Rd Ste 8 Saint Peters MO 63376-1667 | |
| (636) 477-6464 | |
| (636) 410-9291 |
| Full Name | Equilibrium Mental Health Services, Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 5700 Mexico Rd Ste 8, Saint Peters, Missouri |
| Authorized Official Name and Position | Brittania Rene Phillips (PSYCHIATRIC NURSE PRACTITIONER) |
| Authorized Official Contact | 3147075956 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Equilibrium Mental Health Services, Llc 521 Kent Dr Wentzville MO 63385-1316 Ph: (314) 707-5956 | Equilibrium Mental Health Services, Llc 5700 Mexico Rd Ste 8 Saint Peters MO 63376-1667 Ph: (636) 477-6464 |
| NPI Number | 1346903911 |
|---|---|
| Provider Enumeration Date | 10/20/2021 |
| Last Update Date | 11/09/2021 |
| Certification Date | 11/09/2021 |
| Medicare PECOS PAC ID | 4789073248 |
|---|---|
| Medicare Enrollment ID | O20211123000747 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346903911 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Brittania Rene Phillips |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174294789 PECOS PAC ID: 5698164150 Enrollment ID: I20211123000867 |
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