Licensed Professional Counseling Services, LLC
Organization Active NPI Mental Health Counselor · O Fallon, MO
NPI 1811215528 · NPPES record last updated May 6, 2010
Key facts
- NPI
- 1811215528
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Mental Health Counselor 101YM0800X
- License
- 2010012405 (MO)
- Legal business name
- LICENSED PROFESSIONAL COUNSELING SERVICES, LLC
- Practice address
- 225 S Main St
Ste. 103
O Fallon, MO 63366-2866 - Phone
- (636) 294-5490
- Fax
- (636) 294-5492
- NPI assigned
- May 6, 2010
- Organization subpart
- No
Authorized official
- Name
- Shannon Roberson
- Title
- LPC
- Phone
- (636) 294-5490
National Provider Directory
Locations
225 S Main St
Ste 103
O Fallon, MO 63366
Phone (636) 294-0015
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor |
101YM0800X | 2010012405 | MO | Yes |
Addresses
Primary practice location
225 S Main St
Ste. 103
O Fallon, MO 63366-2866
Mailing address
225 S Main St
Ste. 103
O Fallon, MO 63366-2866
Other providers in O Fallon, MO
- Benjamin Leuthauser
- Ryan Levins
- Nat T Levy
- Veda E Lewis-Simmons
- Taryn Lewis
- Life Well Balanced LLC
- Limitless Physical Therapy LLC
- Sneha Lin
- Anthony Lindahl
- Loria A Lindsey
All providers in O Fallon, 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 May 6, 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.