| The Center for Mental Wellness, LLC | |
|
121 Hunter Ave Ste 202 Clayton MO 63124-2083 | |
| (314) 474-8804 | |
| Not Available |
| Full Name | The Center for Mental Wellness, LLC |
|---|---|
| Speciality | Clinic/Center |
| Location | 121 Hunter Ave Ste 202, Clayton, Missouri |
| Authorized Official Name and Position | Natasha Doherty (PRESIDENT, CEO) |
| Authorized Official Contact | 3144748804 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| The Center for Mental Wellness, LLC 121 Hunter Ave Ste 202 Clayton MO 63124-2083 Ph: (314) 474-8804 | The Center for Mental Wellness, LLC 121 Hunter Ave Ste 202 Clayton MO 63124-2083 Ph: (314) 474-8804 |
| NPI Number | 1376211359 |
|---|---|
| Provider Enumeration Date | 09/02/2021 |
| Last Update Date | 07/05/2023 |
| Certification Date | 04/03/2023 |
| Medicare PECOS PAC ID | 5991225518 |
|---|---|
| Medicare Enrollment ID | O20250225003383 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376211359 | NPI | - | NPPES |
| Provider Name | Caroline Barrettsmart |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1447820568 PECOS PAC ID: 6507234309 Enrollment ID: I20221129002307 |
| Provider Name | Angela Nicole Dockins |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1871872218 PECOS PAC ID: 9335597475 Enrollment ID: I20231129002619 |
| Provider Name | Jennifer Jill Kemp |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1598368318 PECOS PAC ID: 4486003902 Enrollment ID: I20231209000212 |
| Provider Name | Kyle Wesley Raney |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1760051908 PECOS PAC ID: 3577915099 Enrollment ID: I20240122000129 |
| Provider Name | Mary E Pugh |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1184070500 PECOS PAC ID: 7113370396 Enrollment ID: I20240124003851 |
| Provider Name | Emilie J Paterson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1881310084 PECOS PAC ID: 3971041112 Enrollment ID: I20240819002510 |
| Provider Name | Hayley Menges |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1114779261 PECOS PAC ID: 8123549110 Enrollment ID: I20250306001875 |
| Provider Name | Elizabeth Mcdonald-zwoyer |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1861115610 PECOS PAC ID: 9739685140 Enrollment ID: I20251003003126 |
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