Avenues Counseling Center
Organization Active NPI Mental Health Counselor · Richmond Heights, MO
NPI 1104226323 · NPPES record last updated Aug 25, 2014
Key facts
- NPI
- 1104226323
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Mental Health Counselor 101YM0800X
- License
- 2003031565 (MO)
- Legal business name
- AVENUES COUNSELING CENTER
- Practice address
- 1612 S Big Bend Blvd
Richmond Heights, MO 63117-2208 - Phone
- (314) 529-1391
- NPI assigned
- Aug 25, 2014
- Organization subpart
- No
Authorized official
- Name
- Ms. Lianne Giordano Johnson, LPC
- Title
- Executive Director
- Phone
- (314) 443-4069
Corporate family (same tax ID) 3
National Provider Directory
- Tax ID family
- Avenues Counseling Center
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor |
101YM0800X | 2003031565 | MO | Yes |
Addresses
Primary practice location
1612 S Big Bend Blvd
Richmond Heights, MO 63117-2208
Mailing address
1612 S Big Bend Blvd
Richmond Heights, MO 63117-2208
Phone (314) 529-1391
Other names
- Avenues Counseling
Other providers in Richmond Heights, MO
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- Elianna Axelbaum
- William James Aye
- Julia Baechle
- Paula Jo Barnabee
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All providers in Richmond Heights, MO · Mental Health Counselor in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 25, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.