| Love For St. Louis | |
|
6 Cardinal Way Ste 900 Saint Louis MO 63102-2807 | |
| (833) 588-4785 | |
| Not Available |
| Full Name | Love For St. Louis |
|---|---|
| Speciality | Counselor |
| Location | 6 Cardinal Way Ste 900, Saint Louis, Missouri |
| Authorized Official Name and Position | Robert Joseph Grayson (PRESIDENT & CEO) |
| Authorized Official Contact | 8335884785 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Love For St. Louis 6 Cardinal Way Ste 900 Saint Louis MO 63102-2807 Ph: (833) 588-4785 | Love For St. Louis 6 Cardinal Way Ste 900 Saint Louis MO 63102-2807 Ph: (833) 588-4785 |
| NPI Number | 1710684618 |
|---|---|
| Provider Enumeration Date | 02/10/2023 |
| Last Update Date | 02/14/2023 |
| Certification Date | 02/14/2023 |
| Medicare PECOS PAC ID | 7911351440 |
|---|---|
| Medicare Enrollment ID | O20231002002011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710684618 | NPI | - | NPPES |
| Provider Name | Megan D Goins |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1447829635 PECOS PAC ID: 2365896164 Enrollment ID: I20230927003996 |
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