Pivot Counseling Llc | |
7526 Big Bend Blvd Webster Groves MO 63119-2104 | |
(314) 578-7608 | |
Not Available |
Full Name | Pivot Counseling Llc |
---|---|
Speciality | Social Worker - Clinical |
Location | 7526 Big Bend Blvd, Webster Groves, Missouri |
Authorized Official Name and Position | Jennie Oberkrom (OWNER) |
Authorized Official Contact | 3145787608 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Pivot Counseling Llc 7526 Big Bend Blvd Webster Groves MO 63119-2104 Ph: (314) 578-7608 | Pivot Counseling Llc 7526 Big Bend Blvd Webster Groves MO 63119-2104 Ph: (314) 578-7608 |
NPI Number | 1285099143 |
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Provider Enumeration Date | 12/20/2015 |
Last Update Date | 12/20/2015 |
Identifier | Type | State | Issuer |
---|---|---|---|
1285099143 | NPI | - | NPPES |
1952574212 | Medicaid | MO |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 2014016172 (Missouri) | Primary |
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