| Saint Louis Counseling & Biofeedback | |
|
12400 Olive Blvd Suite 205 Creve Coeur MO 63141-5454 | |
| (314) 537-5035 | |
| (636) 517-1176 |
| Full Name | Saint Louis Counseling & Biofeedback |
|---|---|
| Speciality | Social Worker |
| Location | 12400 Olive Blvd, Creve Coeur, Missouri |
| Authorized Official Name and Position | Andrew Zemcuznikov (LCSW/OWNER) |
| Authorized Official Contact | 3145375035 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Saint Louis Counseling & Biofeedback 12400 Olive Blvd Suite 205 Creve Coeur MO 63141-5454 Ph: (314) 537-5035 | Saint Louis Counseling & Biofeedback 12400 Olive Blvd Suite 205 Creve Coeur MO 63141-5454 Ph: (314) 537-5035 |
| NPI Number | 1699153353 |
|---|---|
| Provider Enumeration Date | 05/14/2015 |
| Last Update Date | 10/06/2015 |
| Medicare PECOS PAC ID | 7214258987 |
|---|---|
| Medicare Enrollment ID | O20150605002101 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699153353 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 000129 (Missouri) | Primary |
| Provider Name | Andrew Zemcuznikov |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1649689837 PECOS PAC ID: 5092935601 Enrollment ID: I20141002001748 |
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