| Erika R King, Llc | |
|
4121 Union Rd Ste 225 Saint Louis MO 63129-1093 | |
| (314) 730-6787 | |
| (314) 730-6585 |
| Full Name | Erika R King, Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 4121 Union Rd Ste 225, Saint Louis, Missouri |
| Authorized Official Name and Position | Erika King (OWNER) |
| Authorized Official Contact | 3147306787 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Erika R King, Llc 4121 Union Rd Ste 225 Saint Louis MO 63129-1093 Ph: (314) 730-6787 | Erika R King, Llc 4121 Union Rd Ste 225 Saint Louis MO 63129-1093 Ph: (314) 730-6787 |
| NPI Number | 1952044372 |
|---|---|
| Provider Enumeration Date | 04/14/2022 |
| Last Update Date | 04/14/2022 |
| Certification Date | 04/14/2022 |
| Medicare PECOS PAC ID | 5496126641 |
|---|---|
| Medicare Enrollment ID | O20230125003203 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952044372 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Erika R King |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1336378207 PECOS PAC ID: 6608922174 Enrollment ID: I20090924000502 |
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