| The Rewired Brain Llc | |
|
1537 Wild Goose Run Saint Charles MO 63303-2502 | |
| (314) 712-7314 | |
| Not Available |
| Full Name | The Rewired Brain Llc |
|---|---|
| Speciality | Social Worker |
| Location | 1537 Wild Goose Run, Saint Charles, Missouri |
| Authorized Official Name and Position | Lila Anna Gabbard (PRESIDENT) |
| Authorized Official Contact | 3149414150 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| The Rewired Brain Llc 1537 Wild Goose Run Saint Charles MO 63303-2502 Ph: () - | The Rewired Brain Llc 1537 Wild Goose Run Saint Charles MO 63303-2502 Ph: (314) 712-7314 |
| NPI Number | 1669168951 |
|---|---|
| Provider Enumeration Date | 04/11/2023 |
| Last Update Date | 07/02/2023 |
| Certification Date | 07/02/2023 |
| Medicare PECOS PAC ID | 5193186328 |
|---|---|
| Medicare Enrollment ID | O20230803001925 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669168951 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Lila Anna Gabbard |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1265166367 PECOS PAC ID: 6002277233 Enrollment ID: I20230803002038 |
Rosebud Family Consultants Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1360 S 5th St, Suite 346, Saint Charles, MO 63301 Phone: 636-724-2922 Fax: 636-724-2928 | |
Bridgeway Behavioral Health Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1570 S Main St, Saint Charles, MO 63303 Phone: 636-224-1000 Fax: 636-669-1010 | |
Mercy Visions Home Healthcare Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3221 Domain St Apt 1, Saint Charles, MO 63301 Phone: 636-294-5089 Fax: 636-614-0766 | |
Rory Ries Counseling Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 118 N 2nd St, Saint Charles, MO 63301 Phone: 636-328-1909 | |
Medelyn Minor Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1550 Wall St, Suite 244, Saint Charles, MO 63303 Phone: 314-650-3905 Fax: 314-890-2034 | |
Erin Smith Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1002 Madison St, Saint Charles, MO 63301 Phone: 636-328-2739 Fax: 636-410-8212 | |
Depression Clinic At The Health Centers Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 2621 Raymond Dr, Saint Charles, MO 63301 Phone: 636-946-2244 Fax: 636-946-6975 |