STAURLA CHANTEL WAUN (NPI# 1073871257) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073871257 |
| Entity Type | Individual |
| Full Name | STAURLA CHANTEL WAUN |
| Practice Address |
10719 Buckeye Rd Festus MO 63028 |
| Mailing Address |
510 W Pine St Farmington MO 63640-1426 |
| Practice Telephone | 3142970793 |
| Mailing Telephone | 5737562988 |
| Enumeration Date | 2012-04-25 |
| Last Update Date | 2019-04-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
NLC.0108067 | CO | Behavioral Health & Social Service Providers |
| N | 103K00000X | Behavioral Analyst | MO | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1115 Harbor Rd, Grove, OK 743443505 | 9187864434 | 9187864435 |
| 711 Barnes Ave, La Junta, CO 810502138 | 7193835403 | 7193835493 |
| 867 Hillsboro Rd, Farmington, MO 636401611 | 5737562988 |
| Street Address |
10719 BUCKEYE RD |
| City | FESTUS |
| State | MO |
| Zip Code | 63028 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093312217 | Tabitha Abeln | Behavior Technician | 10719 Buckeye Rd, Festus, MO 63028-2960 | 2020-10-01 |
| 1831796044 | Annalise Giamanco | Behavior Technician | 10719 Buckeye Rd, Festus, MO 63028-2960 | 2020-10-01 |
| 1558993220 | Experiential Learning Aba LLC | Behavioral Analyst | 10719 Buckeye Rd, Festus, MO 63028-2960 | 2020-02-10 |
| 1720544158 | Veronica Hawk | Behavior Technician | 10719 Buckeye Rd, Festus, MO 63028-2960 | 2019-02-11 |
| 1336603729 | Kitty Hoi | Behavioral Analyst | 10719 Buckeye Rd, Festus, MO 63028-2960 | 2019-01-30 |
| 1487096012 | Katherine A Petefish | Counselor | 10719 Buckeye Rd, Festus, MO 63028-2960 | 2013-07-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952943268 | Lauryn E Morris | Occupational Therapist | 3657 Baptist Park Rd, Mapaville, MO 63028 | 2019-10-09 |
| 1912557547 | Rena Robinson | Technician | 150 Brandon Wallace Way Suite 1014, Suite 1014, Festus, MO 63028 | 2019-09-16 |
| 1780232264 | Cynthia L James | Technician | 110 Juliet Place, Festus, MO 63028 | 2019-08-28 |
| 1700377009 | Akr Endodontics, LLC | Dentist | 1431 Us Hwy 61, Festus, MO 63028 | 2018-05-22 |
| 1962869990 | Fatma Esen Antakli | Nurse Practitioner | Advanced Pain Centers 190 Industrial Drive, Festus, MO 63028 | 2016-01-21 |
| 1083088744 | Megan Schomer | Counselor | 2675 Meyer Rd, Festus, MO 63028 | 2015-11-18 |
| 1043608144 | Elka Follmer | Physical Therapist | 1349 Us Hwy 61, Festus, MO 63028 | 2014-12-26 |
| 1811394729 | Ashley Schwendeman | Physical Therapist | 1403 N. Truman Blvd, Fesuts, MO 63028 | 2014-11-21 |
| 1639444086 | Jeffrey Steitz | Otolaryngology | 1390 Us Highway 61 Ste 3100, Festus, MO 63028 | 2012-03-19 |
| 1316222961 | Endodontic Associates, LLC | Dentist | 1431 Us Highway 61 South, Festus, MO 63028 | 2011-10-14 |
| Find all providers in zip 63028 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922606375 | Dana M. Powell and Associates, LLC | Counselor | 1108 Valentine St, Festus, MO 63028-1254 | 2020-10-16 |
| 1053830117 | Lindsay Nicole Ellison | Counselor | 220a Main St # 3, Festus, MO 63028-1907 | 2017-09-10 |
| 1477614014 | The Caring Corner Inc. | Counselor | 1166 B East Gannon Dr., Festus, MO 63028 | 2006-12-13 |
| 1598781189 | Community Treatment, Inc. | Counselor | 227 E Main St, Festus, MO 63028-1952 | 2006-07-15 |
| 1235680232 | Tiffany Nicole Wymore | Counselor | 227 E Main St, Festus, MO 63028 | 2016-10-14 |
| 1336564376 | Erin Elizabeth Lakebrink | Counselor | 1401 N Truman Blvd, Festus, MO 63028-1177 | 2014-02-27 |
| 1649546110 | Robert T Gravlin Jr. | Counselor | 227 E Main St, Festus, MO 63028-1952 | 2012-03-28 |
| 1023395688 | Ashley Marie Trueman | Counselor | 227 E Main St, Festus, MO 63028-1952 | 2011-11-10 |
| 1962789529 | Shana Eve Richter | Counselor | 227 E Main St, Festus, MO 63028-1952 | 2011-11-10 |
| 1992088876 | Amy Lynn Phillips | Counselor | 227 E Main St, Festus, MO 63028-1952 | 2011-09-27 |
| Find all providers in FESTUS | ||||
Please comment or provide details below to improve the information on STAURLA CHANTEL WAUN.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.