| NPI | 1710023791 |
|---|---|
| Doing Business As | PROVIDENT BEHAVIORAL HEALTH |
| Former Legal Business Name | PROVIDENT COUNSELING |
| Entity Type | Organization |
| Authorized Contact | KATHY S SCHLEMMER Relations Coordinator 314-802-2647 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2007-01-29 |
| Last Update Date | 2022-10-05 |