| Streams Of Mercy Counseling Llc | |
|
9666 Olive Blvd Ste 370 Saint Louis MO 63132-3025 | |
| (314) 833-0202 | |
| Not Available |
| Full Name | Streams Of Mercy Counseling Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 9666 Olive Blvd Ste 370, Saint Louis, Missouri |
| Authorized Official Name and Position | Dana Boyland (OWNER/THERAPIST) |
| Authorized Official Contact | 3148330202 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Streams Of Mercy Counseling Llc 9666 Olive Blvd Ste 370 Saint Louis MO 63132-3025 Ph: (314) 833-0202 | Streams Of Mercy Counseling Llc 9666 Olive Blvd Ste 370 Saint Louis MO 63132-3025 Ph: (314) 833-0202 |
| NPI Number | 1316687387 |
|---|---|
| Provider Enumeration Date | 03/29/2022 |
| Last Update Date | 09/17/2023 |
| Certification Date | 09/17/2023 |
| Medicare PECOS PAC ID | 7810377348 |
|---|---|
| Medicare Enrollment ID | O20220630001023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316687387 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
| Provider Name | Dana R Boyland |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1174787535 PECOS PAC ID: 9537444567 Enrollment ID: I20170314000847 |
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