NPI | 1912629320 |
---|---|
Doing Business As | ELLIE MENTAL HEALTH OF ST. PETERS |
Entity Type | Organization |
Authorized Contact | JANICE WADE Clinic Director 636-345-4744 |
Organization Subpart ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
102L00000X Psychoanalyst | |
103G00000X Clinical Neuropsychologist | |
103T00000X Psychologist | |
103TC0700X Psychologist, Clinical | |
103TC1900X Psychologist, Counseling | |
103TP2701X Psychologist, Group Psychotherapy | |
1041C0700X Social Worker, Clinical | |
106H00000X Marriage & Family Therapist | |
Enumeration Date | 2022-09-13 |
Last Update Date | 2024-04-04 |