| Rashida Bantu-foster, LPC | |
|
1265 Graham Rd Ste 3, Florissant, MO 63031-8018 | |
| (314) 643-6228 | |
| Not Available |
| Full Name | Rashida Bantu-foster |
|---|---|
| Gender | Female |
| Speciality | Counselor |
| Location | 1265 Graham Rd Ste 3, 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 |
|---|---|---|---|
| 1497236822 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | 0701007863 (Missouri) | Primary |
| Entity Name | Provident Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1710023791 PECOS PAC ID: 0345217279 Enrollment ID: O20050407000335 |
| Mailing Address | Practice Location Address |
|---|---|
| Rashida Bantu-foster, LPC 4332 Alderwood Ct, Black Jack, MO 63033-4210 Ph: (573) 355-2604 | Rashida Bantu-foster, LPC 1265 Graham Rd Ste 3, Florissant, MO 63031-8018 Ph: (314) 643-6228 |
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 | |
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 | |
Asha Allison Clark-carter, Counselor Medicare: Not Enrolled in Medicare Practice Location: 11650 New Halls Ferry Rd, Florissant, MO 63033 Phone: 314-279-9464 |