| For The Love Of You - Fly Counseling, Llc | |
|
677 N New Ballas Rd Ste 218 Saint Louis MO 63141-6732 | |
| (314) 941-0028 | |
| Not Available |
| Full Name | For The Love Of You - Fly Counseling, Llc |
|---|---|
| Speciality | Social Worker |
| Location | 677 N New Ballas Rd Ste 218, Saint Louis, Missouri |
| Authorized Official Name and Position | Celia R Mcmanus (OWNER) |
| Authorized Official Contact | 3149410028 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| For The Love Of You - Fly Counseling, Llc 677 N New Ballas Rd Ste 218 Saint Louis MO 63141-6732 Ph: (314) 941-0028 | For The Love Of You - Fly Counseling, Llc 677 N New Ballas Rd Ste 218 Saint Louis MO 63141-6732 Ph: (314) 941-0028 |
| NPI Number | 1831865088 |
|---|---|
| Provider Enumeration Date | 08/18/2021 |
| Last Update Date | 01/17/2023 |
| Certification Date | 01/17/2023 |
| Medicare PECOS PAC ID | 0345645339 |
|---|---|
| Medicare Enrollment ID | O20210830002171 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831865088 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Celia Mcmanus |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1235748765 PECOS PAC ID: 7911327671 Enrollment ID: I20201019000767 |
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