VESTA COLVIN (NPI# 1245690841) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1245690841 |
Entity Type | Individual |
Full Name | VESTA COLVIN |
Credential | LPC |
Practice Address |
569 Melville Ave Saint Louis MO 63130-4580 |
Mailing Address |
3548 Tennessee Ave Saint Louis MO 63118-3506 |
Practice Telephone | 3147626363 |
Mailing Telephone | 3144488983 |
Enumeration Date | 2016-02-25 |
Last Update Date | 2020-04-10 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers | ||
N | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers | ||
Y | 101YP2500X |
Counselor Specialization: Professional |
2017043246 | MO | Behavioral Health & Social Service Providers |
N | 101YS0200X |
Counselor Specialization: School |
Behavioral Health & Social Service Providers | ||
N | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
Address | Telephone Number | Fax Number |
---|---|---|
1430 Olive St, Saint Louis, MO 631032303 | 3142063700 |
Street Address |
569 MELVILLE AVE |
City | SAINT LOUIS |
State | MO |
Zip Code | 63130-4580 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1568008282 | Latrece Smith | Social Worker | 1270 North and South Road, St. Louis, MO 63130 | 2019-11-18 |
1134602576 | Hatfill & Boothe Corp | Chore Provider | 7819 Olive Blvd, St Louis, MO 63130 | 2018-09-12 |
1285152041 | Above and Beyond Home Health Cares Corporation | In Home Supportive Care | 7251 Olive, St Louis, MO 63130 | 2017-08-31 |
1780114918 | Deborah Ann Zorensky | Dietitian, Registered | 7649 Delmar Blvd., The Center for Mind, Body & Spirit, St. Louis, MO 63130 | 2017-06-20 |
1548612419 | Bella Home Care LLC | In Home Supportive Care | 8147 Delmar Blvd Ste 208, Saint Louis, MO 63130 | 2016-07-05 |
1225487341 | Daniel Shenderov | Chore Provider | 8127 Delmar Blvd #208, Saint Louis, MO 63130 | 2016-06-09 |
1497012322 | A Better Choice Homecare, Inc | In Home Supportive Care | 606 North and South Road, Suite 200, Saint Louis, MO 63130 | 2012-04-17 |
1306150958 | Lisa J. Mcdonald, Dmd, Inc. | Dentist | 7247 Delmar Boulevard, St Louis, MO 63130 | 2010-08-05 |
1114247939 | United Care Service LLC | Non-emergency Medical Transport (VAN) | 8147 Delmar Blvd. #2, St.louis, MO 63130 | 2010-06-03 |
1770759771 | Reynold's Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 7460 Cornell Ave, Saint Louis, MO 63130 | 2008-04-30 |
Find all providers in zip 63130 |
Taxonomy Code | 101YP2500X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
Specialization | Professional |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1841899374 | Christopher Seigel | Counselor | 5317 Mild Dr, Saint Louis, MO 63129-3109 | 2020-10-26 |
1467067504 | Anne Margaret Perkins | Counselor | 9733 Saint Charles Rock Rd, Saint Louis, MO 63114-2625 | 2020-09-15 |
1730792722 | Aryn Bostic | Counselor | 7584 Olive Blvd Ste 203, Saint Louis, MO 63130-1600 | 2020-08-28 |
1417568932 | Child and Family Empowerment Center | Counselor | 800 N Tucker Blvd Fl 1, Saint Louis, MO 63101-1008 | 2020-08-10 |
1720603830 | Kelly Marie Buckley | Counselor | 5939 Hilgard Pl, Saint Louis, MO 63109-3445 | 2020-06-15 |
1407479207 | Lauren Elizabeth Summers | Counselor | 6261 Reber Pl, Saint Louis, MO 63139-2617 | 2020-05-27 |
1306469960 | Walter Robert Scull | Counselor | 1300 Kirkham Ave, Saint Louis, MO 63122-3127 | 2020-05-18 |
1982226759 | David Mcgraw | Counselor | 28 Reasor Dr, Saint Louis, MO 63135-1125 | 2020-05-14 |
1992326565 | Chantrell M Carter | Counselor | 5027 Mardel Ave, Saint Louis, MO 63109-1731 | 2020-05-05 |
1508486333 | Evelyn Aviva Witten | Counselor | 130 S Bemiston Ave Ste 604, Saint Louis, MO 63105-1913 | 2020-04-22 |
Find all providers in SAINT LOUIS |
City | SAINT LOUIS |
Zip Code | 63130 |
Please comment or provide details below to improve the information on VESTA COLVIN.
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.