| Madmar, Llc | |
|
1215 Fern Ridge Pkwy Ste 110 Saint Louis MO 63141-4405 | |
| (314) 275-8599 | |
| Not Available |
| Full Name | Madmar, Llc |
|---|---|
| Speciality | Counselor |
| Location | 1215 Fern Ridge Pkwy Ste 110, Saint Louis, Missouri |
| Authorized Official Name and Position | Steve Miskovic (OWNER) |
| Authorized Official Contact | 3149717595 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Madmar, Llc 1215 Fern Ridge Pkwy Ste 110 Saint Louis MO 63141-4405 Ph: (314) 275-8599 | Madmar, Llc 1215 Fern Ridge Pkwy Ste 110 Saint Louis MO 63141-4405 Ph: (314) 275-8599 |
| NPI Number | 1053152892 |
|---|---|
| Provider Enumeration Date | 06/05/2024 |
| Last Update Date | 06/05/2024 |
| Certification Date | 06/05/2024 |
| Medicare PECOS PAC ID | 8628516119 |
|---|---|
| Medicare Enrollment ID | O20240815000426 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053152892 | NPI | - | NPPES |
| Provider Name | Mary C Fitzgibbons |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1679752562 PECOS PAC ID: 1951595925 Enrollment ID: I20101103001006 |
| Provider Name | Amy Kelly Neu |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1033531207 PECOS PAC ID: 5294966263 Enrollment ID: I20140317001040 |
| Provider Name | Steven J Miskovic |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1649688854 PECOS PAC ID: 2264651413 Enrollment ID: I20140919001729 |
| Provider Name | Murisa Begic-gusic |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1184962623 PECOS PAC ID: 2365663606 Enrollment ID: I20141029002400 |
| Provider Name | Bryan C Duckham |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1063804821 PECOS PAC ID: 1658698618 Enrollment ID: I20150331002898 |
| Provider Name | Angela C Cook |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1255409140 PECOS PAC ID: 9830404284 Enrollment ID: I20150814013184 |
| Provider Name | Theresa F Wiss |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1780369405 PECOS PAC ID: 6901265198 Enrollment ID: I20230706001908 |
| Provider Name | Julia F Covilli |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1902475718 PECOS PAC ID: 5991236564 Enrollment ID: I20241007002657 |
The Relationship Center Of St. Louis Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 7292 Manchester Rd, Saint Louis, MO 63143 Phone: 314-659-8330 Fax: 314-659-8330 | |
Express Care Solutions, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3641 Oakdale Ave, Saint Louis, MO 63121 Phone: 314-727-0453 Fax: 314-727-6067 | |
Traveling Heart Therapy Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2200 W Port Plaza Dr Ste 326, Saint Louis, MO 63146 Phone: 636-328-5212 Fax: 636-333-4510 | |
Brady Sullivan Consulting, Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 3115 S Grand Blvd Ste 300, Saint Louis, MO 63118 Phone: 314-339-7356 | |
Skn Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1034 S Brentwood Blvd Ste 555, Saint Louis, MO 63117 Phone: 314-408-2275 | |
Neurotherapeutics, Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 11040 Manchester Rd, Saint Louis, MO 63122 Phone: 314-909-0776 Fax: 314-909-0887 |