ARKILA 360 DEGREES COUNSELING AND CONSULTING SERVICES (NPI# 1184272072) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1184272072 |
Entity Type | Organization |
Organization Name | ARKILA 360 DEGREES COUNSELING AND CONSULTING SERVICES |
Other Organization Name | 360 DEGREES COUNSELING AND CONSULTING SERVICES |
Practice Address |
1400 Russell Blvd Saint Louis MO 63104-4384 |
Mailing Address |
Po Box 771582 Saint Louis MO 63177-1582 |
Practice Telephone | 3145787394 |
Enumeration Date | 2019-09-03 |
Last Update Date | 2020-11-01 |
Authorized Official Name | ARKILA COVINGTON (EXECUTIVE DIRECTOR) |
Authorized Official Telephone | 3145787394 |
Authorized Official Credential | LMFT |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 103K00000X | Behavioral Analyst | Behavioral Health & Social Service Providers | ||
N | 106E00000X | Assistant Behavior Analyst | Behavioral Health & Social Service Providers | ||
N | 106S00000X | Behavior Technician | Behavioral Health & Social Service Providers | ||
N | 251S00000X | Community/Behavioral Health | Agencies | ||
Y | 106H00000X | Marriage & Family Therapist | Behavioral Health & Social Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MO | 490080738 | 05 |
Other Name | Type Code |
---|---|
360 Degrees Counseling and Consulting Services | Doing Business As Name - Organization |
360 Degrees Services | Other Name - Individual/Organization |
Street Address |
1400 RUSSELL BLVD |
City | SAINT LOUIS |
State | MO |
Zip Code | 63104-4384 |
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 Code | 106H00000X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Marriage & Family Therapist |
A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1326686189 | Megan R Garza | Marriage & Family Therapist | 3720 Hampton Ave Ste 201a, Saint Louis, MO 63109-1438 | 2019-12-11 |
1669902581 | Simara N Blair | Marriage & Family Therapist | 9171 Harold Dr, Saint Louis, MO 63134-3565 | 2017-06-13 |
1467907337 | Carol Love | Marriage & Family Therapist | 6 Lake Pembroke Dr, Saint Louis, MO 63135-1276 | 2016-08-22 |
1114343613 | Kristin Malat | Marriage & Family Therapist | 1506 Water Wood Ln, Saint Louis, MO 63146-4826 | 2014-03-10 |
1457503179 | Andrew Scott Brimhall | Marriage & Family Therapist | 3500 Lindell Blvd, Fitzgerald Hall, Suite 10, Saint Louis, MO 63103-1021 | 2008-10-13 |
1518167352 | Elizabeth Fryer | Marriage & Family Therapist | 11917 Claychester Dr, Saint Louis, MO 63131-4140 | 2007-07-19 |
1710196050 | Mary Pat Henehan | Marriage & Family Therapist | 16 Bon Hills Dr, Saint Louis, MO 63132-3602 | 2007-05-22 |
1487861399 | Michele Merrell Bryan | Marriage & Family Therapist | 24 Dromara Rd, Saint Louis, MO 63124-1815 | 2007-05-17 |
1790991404 | Valerie A. Dixon | Marriage & Family Therapist | 4236 Lindell Blvd, Saint Louis, MO 63108-2948 | 2007-05-16 |
1053486464 | Meredith D. Roberts | Marriage & Family Therapist | 425 N New Ballas Rd, Suite 195, Saint Louis, MO 63141-6814 | 2006-11-21 |
Find all providers in SAINT LOUIS |
City | SAINT LOUIS |
Zip Code | 63104 |
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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.