| St. Louis Marriage Therapy, Llc | |
|
13610 Barrett Office Drive Suite 214 Ballwin MO 63021-7818 | |
| (314) 973-7997 | |
| Not Available |
| Full Name | St. Louis Marriage Therapy, Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 13610 Barrett Office Drive, Ballwin, Missouri |
| Authorized Official Name and Position | Angela Lee Skurtu (CEO/LICENSED MARRIAGE & FAMILY THER) |
| Authorized Official Contact | 3149737997 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| St. Louis Marriage Therapy, Llc 13610 Barrett Office Drive Suite 214 Ballwin MO 63021-7818 Ph: (314) 973-7997 | St. Louis Marriage Therapy, Llc 13610 Barrett Office Drive Suite 214 Ballwin MO 63021-7818 Ph: (314) 973-7997 |
| NPI Number | 1265784615 |
|---|---|
| Provider Enumeration Date | 10/10/2012 |
| Last Update Date | 10/10/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265784615 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 2011031894 (Missouri) | Primary |
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