| Counseling And Assessment Center, Llc | |
|
300 Ozark Trail Dr Suite 220 Ellisville MO 63011-2166 | |
| (314) 971-5797 | |
| (888) 224-4141 |
| Full Name | Counseling And Assessment Center, Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 300 Ozark Trail Dr, Ellisville, Missouri |
| Authorized Official Name and Position | Stacey Ann Roth-larose (SOLE MEMBER) |
| Authorized Official Contact | 3149715797 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Counseling And Assessment Center, Llc 636 Parker Dr Ballwin MO 63021-4836 Ph: (314) 971-5797 | Counseling And Assessment Center, Llc 300 Ozark Trail Dr Suite 220 Ellisville MO 63011-2166 Ph: (314) 971-5797 |
| NPI Number | 1184909574 |
|---|---|
| Provider Enumeration Date | 10/17/2011 |
| Last Update Date | 10/17/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184909574 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 2005028635 (Missouri) | Primary |
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