Active NPI
ML Therapy LLC
- Clinical Social Worker
- Saint Louis, MO
National Provider Identifier
1124890108
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Legal business name
- ML THERAPY LLC
- Practice address
- 4256 Wyoming St
Saint Louis, MO 63116-1822 - Phone
- (314) 669-6318
- NPI assigned
- Oct 24, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Micha Leneave, LCSW
- Title
- Owner
- Phone
- (314) 608-4172
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | Primary |
Addresses
Primary practice location
4256 Wyoming St
Saint Louis, MO 63116-1822
Mailing address
4256 Wyoming St
Saint Louis, MO 63116-1822
Phone (314) 608-4172
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1698105600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1698105600000",
"number": "1124890108",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4256 WYOMING ST",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631161822",
"telephone_number": "314-608-4172"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4256 WYOMING ST",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631161822",
"telephone_number": "314-669-6318"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ML THERAPY LLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-10-24",
"last_updated": "2023-10-24",
"certification_date": "2023-10-24",
"status": "A",
"authorized_official_last_name": "LENEAVE",
"authorized_official_first_name": "MICHA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "314-608-4172",
"authorized_official_credential": "LCSW"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Saint Louis, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.