| NPI | 1588163570 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERICKA CABLES Owner/Lpc 314-312-2551 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional |
| Additional Taxonomies | 1041C0700X Social Worker Clinical |
| 106H00000X Marriage & Family Therapist | |
| 251B00000X Case Management | |
| 251S00000X Community/Behavioral Health | |
| 261QC1500X Clinic/Center Community Health | |
| 101YM0800X Counselor Mental Health | |
| 101YS0200X Counselor School | |
| 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) | |
| 261QM0850X Clinic/Center Adult Mental Health | |
| 261QM0855X Clinic/Center Adolescent and Children Mental Health | |
| Enumeration Date | 2018-02-06 |
| Last Update Date | 2020-03-04 |