Concordance Academy of Leadership

Primary specialty

Case Management AgencyTaxonomy code 251B00000X

Legal business name

CONCORDANCE ACADEMY OF LEADERSHIP

Doing business as

Concordance

Practice address

1845 Borman CT
Saint Louis, MO 63146-4126

Phone

(314) 396-6001

NPI assigned

Dec 2, 2022

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Clinton Lee Holmes Jr.

Title

Chief Administrative Officer

Phone

(314) 396-6004

Specialties & licenses 4

Addresses

Other names 1

• Concordance Doing business as

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1669939200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1669939200000",
    "number": "1053021865",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 CITYPLACE DR STE 522",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631417209",
            "telephone_number": "314-396-6004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1845 BORMAN CT",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631464126",
            "telephone_number": "314-396-6001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONCORDANCE ACADEMY OF LEADERSHIP",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-12-02",
        "last_updated": "2022-12-02",
        "certification_date": "2022-12-02",
        "status": "A",
        "authorized_official_last_name": "HOLMES",
        "authorized_official_first_name": "CLINTON",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "CHIEF ADMINISTRATIVE OFFICER",
        "authorized_official_telephone_number": "314-396-6004",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Concordance",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Case Management Agency in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• Case Management Agency in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.