| Hi-tech Charities Behavioral Health Services | |
|
23 N Oaks Plz Ste 275 Saint Louis MO 63121-2994 | |
| (314) 389-5737 | |
| (314) 382-1660 |
| Full Name | Hi-tech Charities Behavioral Health Services |
|---|---|
| Speciality | Clinic/Center |
| Location | 23 N Oaks Plz Ste 275, Saint Louis, Missouri |
| Authorized Official Name and Position | Francis Onukwue (PRESIDENT/CEO) |
| Authorized Official Contact | 3149227139 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Hi-tech Charities Behavioral Health Services Dr. Martin Luther King Dr Saint Louis MO 63112-3516 Ph: (314) 922-7139 | Hi-tech Charities Behavioral Health Services 23 N Oaks Plz Ste 275 Saint Louis MO 63121-2994 Ph: (314) 389-5737 |
| NPI Number | 1093236317 |
|---|---|
| Provider Enumeration Date | 06/28/2017 |
| Last Update Date | 07/21/2022 |
| Certification Date | 09/25/2020 |
| Medicare PECOS PAC ID | 5991977449 |
|---|---|
| Medicare Enrollment ID | O20180123000595 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093236317 | NPI | - | NPPES |
| 0010277 | Medicaid | MO |
| Provider Name | Melvin J Butler |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1841278850 PECOS PAC ID: 8628267408 Enrollment ID: I20110110000358 |
| Provider Name | Erickson T Smith |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1003938754 PECOS PAC ID: 3173882057 Enrollment ID: I20180123000986 |
| Provider Name | Lorna Vaughn |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1134711088 PECOS PAC ID: 4385026855 Enrollment ID: I20240509003872 |
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