| My Blue Skies Llc | |
|
2026 S Big Bend Blvd Richmond Heights MO 63117-2404 | |
| (314) 375-6475 | |
| Not Available |
| Full Name | My Blue Skies Llc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 2026 S Big Bend Blvd, Richmond Heights, Missouri |
| Authorized Official Name and Position | Susan Ignazito-wilhelm (OWNER) |
| Authorized Official Contact | 3145466920 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| My Blue Skies Llc 7218 Tall Oak Ct Saint Louis MO 63129-5650 Ph: (314) 546-6920 | My Blue Skies Llc 2026 S Big Bend Blvd Richmond Heights MO 63117-2404 Ph: (314) 375-6475 |
| NPI Number | 1720844756 |
|---|---|
| Provider Enumeration Date | 02/27/2024 |
| Last Update Date | 02/27/2024 |
| Certification Date | 02/27/2024 |
| Medicare PECOS PAC ID | 1052851276 |
|---|---|
| Medicare Enrollment ID | O20240913001838 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720844756 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| Provider Name | Susan Ignazito-wilhelm |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1811256332 PECOS PAC ID: 3870033095 Enrollment ID: I20240913001913 |
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