VINE LIFE COUNSELING


Address: 2310 S Grand Blvd, Saint Louis, MO 63104-1702
Phone: 3144204733

VINE LIFE COUNSELING (NPI# 1104382118) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1104382118
Entity Type Organization
Organization Name VINE LIFE COUNSELING
Practice Address 2310 S Grand Blvd
Saint Louis
MO 63104-1702
Practice Telephone 3144204733
Mailing Telephone 3144204733
Enumeration Date 2019-02-14
Last Update Date 2019-02-14
Authorized Official Name MR. ALPHONSO IVY JR. (OWNER COUNSELOR)
Authorized Official Telephone 3144204733
Authorized Official Credential LPC
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 251S00000X Community/Behavioral Health Agencies

Office Location

Street Address 2310 S GRAND BLVD
City SAINT LOUIS
State MO
Zip Code 63104-1702

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1407469570 Family Care Health Centers Clinic/Center 2717 Sidney Street, St. Louis, MO 63104 2020-08-28
1023638038 Laura Ann Humphrey Physician Assistant Allied Health Building 3437 Caroline Street, Room 3015, Saint Louis, MO 63104 2020-04-20
1174187264 Ahsan Ali Student in an Organized Health Care Education/Training Program 1438 South Grand Blvd, Monteleone Hall, St. Louis, MO 63104 2019-04-24
1205359916 Brenda Eve Ladin Behavior Technician 1221 Allen Market Lane Rear, St. Louis, MO 63104 2017-07-25
1841722063 Gustavo G Mendez Student in an Organized Health Care Education/Training Program 1465 South Grand Bulevard Rm 2717, Ssm Health Cardinal Glennon Children's Hospital, Saint Louis, MO 63104 2017-03-28
1053776716 Carmella Harper Respiratory Therapist, Certified 2678 Park Ave, St Louis, MO 63104 2015-12-23
1922485986 Alexander Tremont Internal Medicine 1402 S Grand Blvd Rm M260, Saint Louis, MO 63104 2015-04-29
1306233341 Healthcare R Us Home Health 2859 Sidney St, St Louis, MO 63104 2015-04-16
1396159091 Daniela Hermelin Pathology 1402 South Grane, St. Louis, MO 63104 2014-06-20
1992117881 Kelly Denise Durbin Social Worker 1920 S 7th St, Saint Louis, MO 63104 2014-05-27
Find all providers in zip 63104

Taxonomy Information

Taxonomy Code 251S00000X
Grouping Agencies
Classification Community/Behavioral Health

Taxonomy Definition

A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1790398329 Walking Each Other Home Wellness LLC Community/Behavioral Health 5149 Dresden Ave, Saint Louis, MO 63116-1325 2020-08-24
1487271839 Irma Hagarty Counseling Services LLC Community/Behavioral Health 9450 Manchester Rd Ste 204, Saint Louis, MO 63119-1452 2020-07-01
1891326559 Justin Jerome Phillips Community/Behavioral Health 4021 Laclede Ave # 23211, Saint Louis, MO 63108-3271 2020-01-31
1508422858 Patient Advocacy and Education Community/Behavioral Health 7006 Woodbridge Creek Ct, Saint Louis, MO 63129-6419 2019-05-13
1154985711 Chads Coalition for Mental Health Community/Behavioral Health 4121 Union Rd Ste 224, Saint Louis, MO 63129-1070 2019-04-29
1831663848 Latitude Therapy Solutions LLC Community/Behavioral Health 8130 Balson Ave, Saint Louis, MO 63130-3607 2019-01-14
1700376423 Bell Therapeutic Services Community/Behavioral Health 4125 Humphrey St, Saint Louis, MO 63116-3824 2018-05-17
1568990505 Tyree Edward Miller Behavioral Health Services Community/Behavioral Health 2829 Gainsboro Ct, Saint Louis, MO 63121-4717 2017-06-02
1316485832 Reach Out Consulting LLC Community/Behavioral Health 5158 Suson Way Ct, Saint Louis, MO 63128-4531 2017-02-03
1073064523 Hunts Haven Home Care LLC Community/Behavioral Health 2510 Ada Ave, Saint Louis, MO 63136-1307 2016-10-19
Find all providers in SAINT LOUIS

Competitor

Search similar providers

City SAINT LOUIS
Zip Code 63104

Improve Information

Please comment or provide details below to improve the information on VINE LIFE COUNSELING.

Dataset Information

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.

Trending Searches