Stephanie Costley Hedgecock, LPC
Individual provider Active NPI Professional Counselor · Des Peres, MO
NPI 1770895435 · NPPES record last updated Jul 10, 2010
Key facts
- NPI
- 1770895435
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- License
- 2008028480 (MO)
- Practice address
- 12015 Manchester Rd
Suite 155
Des Peres, MO 63131-4423 - Phone
- (314) 479-6571
- NPI assigned
- Jul 10, 2010
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2008028480 | MO | MD | Professional Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 2008028480 | MO | Yes |
Addresses
Primary practice location
12015 Manchester Rd
Suite 155
Des Peres, MO 63131-4423
Mailing address
12015 Manchester Rd
Suite 155
Des Peres, MO 63131-4423
Phone (314) 479-6571
Other providers in Des Peres, MO
- Christopher Barclay Hamm
- Hanley Limited Partners, LLC
- John Thomas Hart
- Healthmark Medical Inc
- Healthmark St Peters
- Katherine Heitmann
- Joseph T Hilgeman
- Robin K Hirth
- Nicole Howard
- Melissa A. Huse
All providers in Des Peres, MO · Professional 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 Jul 10, 2010. 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.