| Rejuvenating Comprehensive Services, Llc | |
|
9231 W Florissant Ave Saint Louis MO 63136-1422 | |
| (314) 279-1444 | |
| (314) 801-8178 |
| Full Name | Rejuvenating Comprehensive Services, Llc |
|---|---|
| Speciality | Social Worker |
| Location | 9231 W Florissant Ave, Saint Louis, Missouri |
| Authorized Official Name and Position | Keely Finney (THERAPIST) |
| Authorized Official Contact | 3145044706 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Rejuvenating Comprehensive Services, Llc 2100 E Fair Ave Saint Louis MO 63107-1022 Ph: (314) 504-4706 | Rejuvenating Comprehensive Services, Llc 9231 W Florissant Ave Saint Louis MO 63136-1422 Ph: (314) 279-1444 |
| NPI Number | 1437719879 |
|---|---|
| Provider Enumeration Date | 06/18/2019 |
| Last Update Date | 05/14/2021 |
| Certification Date | 05/14/2021 |
| Medicare PECOS PAC ID | 6507275914 |
|---|---|
| Medicare Enrollment ID | O20210513002790 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437719879 | NPI | - | NPPES |
| 1588009344 | Other | MO | PERSONAL NPI |
| 163511 | Medicaid | MO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Secondary |
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Keely L Finney |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1588009344 PECOS PAC ID: 8921220666 Enrollment ID: I20160824003028 |
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