| Yvonne I. Dehart | |
|
10000 Watson Rd Suite 2l18 Saint Louis MO 63126-1854 | |
| (314) 965-5451 | |
| (314) 965-5451 |
| Full Name | Yvonne I. Dehart |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 10000 Watson Rd, Saint Louis, Missouri |
| Authorized Official Name and Position | Yvonne Icyleen Dehart (PRESIDENT) |
| Authorized Official Contact | 3149655451 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Yvonne I. Dehart 12151 Lowill Ln Saint Louis MO 63126-2900 Ph: (314) 965-5451 | Yvonne I. Dehart 10000 Watson Rd Suite 2l18 Saint Louis MO 63126-1854 Ph: (314) 965-5451 |
| NPI Number | 1710191234 |
|---|---|
| Provider Enumeration Date | 05/10/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710191234 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | CS000370 (Missouri) | Primary |
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