| Diversified Counseling, LLC | |
|
533 Lafayette Ave Webster Groves MO 63119-1860 | |
| (314) 313-1962 | |
| Not Available |
| Full Name | Diversified Counseling, LLC |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 533 Lafayette Ave, Webster Groves, Missouri |
| Authorized Official Name and Position | Marsha Bradford (OWNER) |
| Authorized Official Contact | 3143131962 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Diversified Counseling, LLC 533 Lafayette Ave Webster Groves MO 63119-1860 | Diversified Counseling, LLC 533 Lafayette Ave Webster Groves MO 63119-1860 Ph: (314) 313-1962 |
| NPI Number | 1558810895 |
|---|---|
| Provider Enumeration Date | 09/28/2016 |
| Last Update Date | 09/28/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558810895 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 2015009694 (Missouri) | Primary |
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