Tim Gravier, LPC | |
770 Aramis Dr, Creve Coeur, MO 63141-7309 | |
(314) 807-4880 | |
Not Available |
Full Name | Tim Gravier |
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Gender | Male |
Speciality | Counselor - Professional |
Location | 770 Aramis Dr, Creve Coeur, Missouri |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1013515725 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | 2001018053 (Missouri) | Primary |
Entity Name | Sondermind Provider Network Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1760854442 PECOS PAC ID: 9537572490 Enrollment ID: O20210812000440 |
Mailing Address | Practice Location Address |
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Tim Gravier, LPC 770 Aramis Dr, Creve Coeur, MO 63141-7309 Ph: (314) 807-4880 | Tim Gravier, LPC 770 Aramis Dr, Creve Coeur, MO 63141-7309 Ph: (314) 807-4880 |
Mrs. Karen Cole, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 655 Craig Rd, Suite 318, Creve Coeur, MO 63141 Phone: 314-717-0360 | |
Ms. Vatel Arre Jackson, Counselor Medicare: Not Enrolled in Medicare Practice Location: 12647 Olive Blvd Ste 200, Creve Coeur, MO 63141 Phone: 314-469-4908 | |
Evonne Weinhaus, LCSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 662 N New Ballas Rd, Creve Coeur, MO 63141 Phone: 314-499-9144 Fax: 314-499-9188 | |
Craig F Politte, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 655 Craig Rd, Suite 318, Creve Coeur, MO 63141 Phone: 314-720-8730 | |
Mr. Gregory Mason Macdonald, Counselor Medicare: Not Enrolled in Medicare Practice Location: 12647 Olive Blvd, Spectrum Healthcare Resources, Creve Coeur, MO 63141 Phone: 800-325-3982 Fax: 877-685-9866 | |
Mrs. Stacey Nentwig Greer, M.ED. Counselor Medicare: Not Enrolled in Medicare Practice Location: 425 N New Ballas Rd, Suite 195, Creve Coeur, MO 63141 Phone: 314-999-1566 Fax: 314-991-0666 |