| Preferred Path Llc | |
|
1619 Summer Run Dr Unit 23 Florissant MO 63033-6440 | |
| (314) 313-8351 | |
| Not Available |
| Full Name | Preferred Path Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 1619 Summer Run Dr Unit 23, Florissant, Missouri |
| Authorized Official Name and Position | Donna Teresa Riat (THERAPIST/ LLC OWNER) |
| Authorized Official Contact | 6364866618 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Preferred Path Llc 1619 Summer Run Dr Unit 23 Florissant MO 63033-6440 Ph: (314) 313-8351 | Preferred Path Llc 1619 Summer Run Dr Unit 23 Florissant MO 63033-6440 Ph: (314) 313-8351 |
| NPI Number | 1588312359 |
|---|---|
| Provider Enumeration Date | 03/11/2022 |
| Last Update Date | 03/11/2022 |
| Certification Date | 10/15/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588312359 | NPI | - | NPPES |
| 499344109 | Medicaid | MO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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