| Ms Shontavia Mason, LPC | |
|
6587 Epphingham Ln, Florissant, MO 63033-4705 | |
| (314) 258-2986 | |
| Not Available |
| Full Name | Ms Shontavia Mason |
|---|---|
| Gender | Female |
| Speciality | Counselor - Mental Health |
| Location | 6587 Epphingham Ln, Florissant, Missouri |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245013382 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 2025017216 (Missouri) | Primary |
| Entity Name | A W Stevenson LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1396469060 PECOS PAC ID: 8628437092 Enrollment ID: O20230703000257 |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Shontavia Mason, LPC 6587 Epphingham Ln, Florissant, MO 63033-4705 Ph: (314) 258-2986 | Ms Shontavia Mason, LPC 6587 Epphingham Ln, Florissant, MO 63033-4705 Ph: (314) 258-2986 |
Reba Rice-portwood, Counselor Medicare: Not Enrolled in Medicare Practice Location: 3633 Marietta Dr Ste C, Florissant, MO 63033 Phone: 314-831-5433 |
Robin Tiffany Giden, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1919 Acorn Trail Dr, Florissant, MO 63031 Phone: 630-728-3482 |
Mrs. Jessica Yasmeen Bogan, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2040 Saint Stephen Dr, Florissant, MO 63033 Phone: 314-803-8425 |
Jarrett Royell Hickman, PLPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 11701 W Florissant Ave, Florissant, MO 63033 Phone: 314-972-8132 |
Ms. Amber Dawn Cline, PLPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 3633 Marietta Dr, Suite C, Florissant, MO 63033 Phone: 314-971-6805 |
Jessie Johnson, Counselor Medicare: Medicare Enrolled Practice Location: 1150 Graham Rd Ste 102, Florissant, MO 63031 Phone: 314-206-3900 |
Ms. Marilyn A Coffman, L.P.C. Counselor Medicare: Not Enrolled in Medicare Practice Location: 525 Rue Saint Francois, Suite 7, Florissant, MO 63031 Phone: 314-837-9507 Fax: 314-837-9507 |