| Psych Health Llc | |
|
2821 N Ballas Rd Suite 265 Saint Louis MO 63131-2321 | |
| (314) 614-7794 | |
| (636) 942-2223 |
| Full Name | Psych Health Llc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 2821 N Ballas Rd, Saint Louis, Missouri |
| Authorized Official Name and Position | Shaheen Mansoor (OWNER) |
| Authorized Official Contact | 3146147794 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Psych Health Llc 2821 N Ballas Rd Suite 265 Saint Louis MO 63131-2321 Ph: (314) 614-7794 | Psych Health Llc 2821 N Ballas Rd Suite 265 Saint Louis MO 63131-2321 Ph: (314) 614-7794 |
| NPI Number | 1336447564 |
|---|---|
| Provider Enumeration Date | 03/11/2011 |
| Last Update Date | 04/22/2011 |
| Medicare PECOS PAC ID | 9830375922 |
|---|---|
| Medicare Enrollment ID | O20110526000215 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336447564 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 2010015945 (Missouri) | Primary |
| Provider Name | Shaheen Mansoor |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1003017369 PECOS PAC ID: 6901082098 Enrollment ID: I20110526000250 |
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