Hudson Behavioral Healthcare Groupllc

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

HUDSON BEHAVIORAL HEALTHCARE GROUPLLC

Practice address

2300 S Grand Blvd
Saint Louis, MO 63104-1702

Phone

(314) 448-1130

NPI assigned

Jan 9, 2024

Last updated

Jan 9, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Antionette Travis, SOCIAL WORKER, BSW

Title

Case Manager/ Owner

Phone

(314) 448-1130

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1704758400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1704758400000",
    "number": "1245001338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2300 S GRAND BLVD",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631041702",
            "telephone_number": "314-448-1130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2300 S GRAND BLVD",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631041702",
            "telephone_number": "314-448-1130"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HUDSON BEHAVIORAL HEALTHCARE GROUPLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-09",
        "last_updated": "2024-01-09",
        "certification_date": "2024-01-09",
        "status": "A",
        "authorized_official_last_name": "TRAVIS",
        "authorized_official_first_name": "ANTIONETTE",
        "authorized_official_title_or_position": "CASE MANAGER/ OWNER",
        "authorized_official_telephone_number": "314-448-1130",
        "authorized_official_credential": "SOCIAL WORKER, BSW"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carol M Huddleston, M.S.W.
• Charles Buford Huddleston, MD
• D'Juan Huddleston Sr.
• Kalee Huddleston, PHARMD
• Meloni Ann Huddleston, RN
• Lawrence Edmond Hudson-Lewis, LCSW
• Brittany Renee Hudson, ACNP
• Candace Hudson
• Chandler Nicholas Hudson, MD
• Darnice Hudson

• Mental Health Counselor in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• Mental Health Counselor in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2024; 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.