| Pivot Counseling LLC | |
|
7526 Big Bend Blvd Webster Groves MO 63119-2104 | |
| (314) 578-7608 | |
| Not Available |
| Full Name | Pivot Counseling LLC |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 7526 Big Bend Blvd, Webster Groves, Missouri |
| Authorized Official Name and Position | Jennie Oberkrom (OWNER) |
| Authorized Official Contact | 3145787608 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pivot Counseling LLC 7526 Big Bend Blvd Webster Groves MO 63119-2104 Ph: (314) 578-7608 | Pivot Counseling LLC 7526 Big Bend Blvd Webster Groves MO 63119-2104 Ph: (314) 578-7608 |
| NPI Number | 1285099143 |
|---|---|
| Provider Enumeration Date | 12/20/2015 |
| Last Update Date | 12/20/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285099143 | NPI | - | NPPES |
| 1952574212 | Medicaid | MO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 2014016172 (Missouri) | Primary |
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