| Mypathtoself Inc. | |
|
12810 Tesson Ferry Rd Ste 103 Saint Louis MO 63128-2913 | |
| (314) 650-9537 | |
| Not Available |
| Full Name | Mypathtoself Inc. |
|---|---|
| Speciality | Counselor |
| Location | 12810 Tesson Ferry Rd Ste 103, Saint Louis, Missouri |
| Authorized Official Name and Position | Saroni Kundu (OWNER) |
| Authorized Official Contact | 3146509537 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mypathtoself Inc. 365 Remington Way Dr Ballwin MO 63021-6379 Ph: (314) 650-9537 | Mypathtoself Inc. 12810 Tesson Ferry Rd Ste 103 Saint Louis MO 63128-2913 Ph: (314) 650-9537 |
| NPI Number | 1700596772 |
|---|---|
| Provider Enumeration Date | 12/01/2022 |
| Last Update Date | 12/01/2022 |
| Certification Date | 11/30/2022 |
| Medicare PECOS PAC ID | 4082088323 |
|---|---|
| Medicare Enrollment ID | O20230328000977 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700596772 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Provider Name | Michelle Renee Hastings |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1588001077 PECOS PAC ID: 5890072508 Enrollment ID: I20170508000395 |
| Provider Name | Charles R Patterson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1376144071 PECOS PAC ID: 3870992779 Enrollment ID: I20210526001243 |
| Provider Name | Amanda J Schuermann |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1366015174 PECOS PAC ID: 8123479573 Enrollment ID: I20240110001031 |
| Provider Name | Brooke Blythe Kerbel |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1215577382 PECOS PAC ID: 4587015961 Enrollment ID: I20240110001941 |
| Provider Name | Krystal L Skipper |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1073913513 PECOS PAC ID: 9436523776 Enrollment ID: I20240110002449 |
| Provider Name | Kristina R Kersting |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1457324485 PECOS PAC ID: 0648621045 Enrollment ID: I20240110002773 |
| Provider Name | Sarah Mohamed Al-zadjali |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1104505056 PECOS PAC ID: 0941742472 Enrollment ID: I20240611004534 |
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