Organization · Type 2 NPI

Provident Inc

Mental Health Counselor · St. Louis, MO

NPI number 1043491020 Active

Practice location

2650 Olive St
St. Louis, MO 63103-1489

Call (314) 371-6500 Map

Fax (314) 371-6508

Other practice locations

  • 2388 Schuetz Rd Ste A10, St. Louis, MO 63146-3401 · (314) 898-0100
  • 11166 Tesson Ferry Rd Ste 300, St. Louis, MO 63123-6966 · (314) 898-0102
  • 12755 Olive Blvd, Suite 150, St. Louis, MO 63141-6242 · (314) 898-0100

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1043491020

Provident Inc's National Provider Identifier is 1043491020, issued on Nov 19, 2007. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in St. Louis, MO. The record was last updated on Oct 5, 2022.