Kristine Angelo, LMFT

Individual provider Active NPI Marriage & Family Therapist · Richmond Heights, MO

NPI 1821383175 · NPPES record last updated Dec 18, 2022

Key facts

NPI
1821383175
Entity type
Individual (NPI type 1)
Primary specialty
Marriage & Family Therapist 106H00000X
License
0000000839 (TN)
Practice address
1034 S Brentwood Blvd Ste 555
Richmond Heights, MO 63117-1265
Phone
(314) 394-8757
NPI assigned
Jun 15, 2011
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

LicenseStateTypeSpecialty
2011003480MOMDMarriage & Family Therapist
0000000839TNMDMarriage & Family Therapist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 2011003480 MO
Marriage & Family Therapist 106H00000X 0000000839 TN Yes

Addresses

Primary practice location

1034 S Brentwood Blvd Ste 555
Richmond Heights, MO 63117-1265

Mailing address

1034 S Brentwood Blvd Ste 555
Richmond Heights, MO 63117-1265
Phone (314) 394-8757

Other providers in Richmond Heights, MO

All providers in Richmond Heights, MO · Marriage & Family Therapist in Missouri

Sources for this page

Verify at the official NPI Registry.