Organization · Type 2 NPI

St. Louis Behavioral Medicine Institute Inc

Mental Health Counselor · Fairview Heights, IL

NPI number 1952169179 Active

Practice location

331 Salem Place Ste 225A, Fairview Executive Plaza II
Fairview Heights, IL 62208

Mailing address

1129 Macklind Ave
St. Louis, MO 63110-1440

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed
Counseling Psychologist 103TC1900XNone listed

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About NPI 1952169179

St. Louis Behavioral Medicine Institute Inc's National Provider Identifier is 1952169179, issued on Mar 12, 2024. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Fairview Heights, IL. The record was last updated on Mar 12, 2024.