| St Louis Behavioral Health Associates, Llc | |
|
1400 Lemay Ferry Rd Saint Louis MO 63125-2408 | |
| (314) 776-7999 | |
| (314) 772-2257 |
| Full Name | St Louis Behavioral Health Associates, Llc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 1400 Lemay Ferry Rd, Saint Louis, Missouri |
| Authorized Official Name and Position | Kulsoom Fatima Junaid (MANAGER) |
| Authorized Official Contact | 3149222662 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| St Louis Behavioral Health Associates, Llc 11 Summerhill Ln Town And Country MO 63017-8408 Ph: (314) 922-2662 | St Louis Behavioral Health Associates, Llc 1400 Lemay Ferry Rd Saint Louis MO 63125-2408 Ph: (314) 776-7999 |
| NPI Number | 1780749457 |
|---|---|
| Provider Enumeration Date | 12/23/2006 |
| Last Update Date | 06/04/2021 |
| Certification Date | 06/04/2021 |
| Medicare PECOS PAC ID | 3375641160 |
|---|---|
| Medicare Enrollment ID | O20070601000137 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780749457 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 2001017151 (Missouri) | Primary |
| Provider Name | Kulsoom F Junaid |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1497827968 PECOS PAC ID: 0042318834 Enrollment ID: I20070601000106 |
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