Reaching Back Enteprise LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

REACHING BACK ENTEPRISE LLC

Practice address

14220 Old Halls Ferry Rd
Suite 201
Florissant, MO 63034-2400

Phone

(314) 489-9517

Fax

(314) 383-1564

NPI assigned

Oct 7, 2010

Organization subpart

No

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

Authorized official

Name

Mr. Nicholas Anton Wren, LPC

Title

Licensed Professional Counselor

Phone

(314) 489-9517

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1286409600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1286409600000",
    "number": "1811207996",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. 211115",
            "city": "ST. LOUIS",
            "state": "MO",
            "postal_code": "631219998",
            "telephone_number": "314-489-9517",
            "fax_number": "314-383-1564"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14220 OLD HALLS FERRY RD",
            "address_2": "SUITE 201",
            "city": "FLORISSANT",
            "state": "MO",
            "postal_code": "630342400",
            "telephone_number": "314-489-9517",
            "fax_number": "314-383-1564"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REACHING BACK ENTEPRISE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-07",
        "last_updated": "2010-10-07",
        "status": "A",
        "authorized_official_last_name": "WREN",
        "authorized_official_first_name": "NICHOLAS",
        "authorized_official_middle_name": "ANTON",
        "authorized_official_title_or_position": "LICENSED PROFESSIONAL COUNSELOR",
        "authorized_official_telephone_number": "314-489-9517",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Providers in Florissant, MO by specialty
• Community/Behavioral Health Agency in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2010; 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.