MS. CONNIE S TRUNK (NPI# 1831370006) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831370006 |
| Entity Type | Individual |
| Full Name | MS. CONNIE S TRUNK |
| Credential | M.ED., LPC, NCC,NBCC |
| Practice Address |
5494 Brown Rd Suite 110 New Beginnings Connie Trunk, Lpc,ncc St. Louis MO 63042-1100 |
| Mailing Address |
5494 Brown Rd Suite 110 Hazelwood MO 63042-1100 |
| Practice Telephone | 3147317667 |
| Mailing Telephone | 3147317667 |
| Enumeration Date | 2007-11-16 |
| Last Update Date | 2007-11-16 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
2003010622 | MO | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | CAQH ID | 11533239 | 01 |
| Street Address |
5494 BROWN RD SUITE 110 NEW BEGINNINGS CONNIE TRUNK , LPC,NCC |
| City | ST. LOUIS |
| State | MO |
| Zip Code | 63042-1100 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871101147 | Infusion Health Care, LLC | Home Health | 7220 N Linbergh, Suite 355, Hazelwood, MO 63042 | 2020-07-22 |
| 1558993014 | Humble Helpers Home Care, LLC | Home Health | 7220 N Linbergh Blvd, Suite 240, Hazlewood, MO 63042 | 2020-02-12 |
| 1417462391 | Community Care | Registered Nurse | 7220 N. Lindbergh Ste 310, Hazelwood, MO 63042 | 2017-12-13 |
| 1649797077 | Eric R Ricker | Optometrist | 7934 North Lindbergh Blvd Ste A, Hazelwood, MO 63042 | 2017-08-25 |
| 1750802799 | Health Remedies LLC | Meals | 414 Elmgrove Ln Apt 2, St. Louis, MO 63042 | 2017-06-29 |
| 1508396193 | Tyrone Cain | Home Health | 7865 Chalmette Drive, Hazelwood, MO 63042 | 2017-06-15 |
| 1497114888 | Joshalyn Mills | Massage Therapist | 4808 Tall Tree Ln, Hazelwood, MO 63042 | 2016-02-15 |
| 1902264286 | Tricar Inc | In Home Supportive Care | 1740 Leafcrest Dr, Hazelwood, MO 63042 | 2016-02-02 |
| 1255750840 | Jeffrey Kelly | Specialist/Technologist | 7220 N Lindbergh, Salyer Perfusion Blvd Ste 360, St. Louis, MO 63042 | 2014-04-10 |
| 1477894426 | 2nd Chance 4 You, LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 327 Sturbridge, Hazelwood, MO 63042 | 2013-03-14 |
| Find all providers in zip 63042 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215491329 | Latonya Allen | Counselor | 1612 S. Big Bend Blvd, St. Louis, MO 63117 | 2019-01-23 |
| 1861901480 | Christina Cummings | Counselor | 5387 Pershing Ave., Apt. A, St. Louis, MO 63112 | 2017-09-26 |
| 1114319092 | Kathi Wallace | Counselor | 11166 Tesson Ferry Rd., Suite #203 Alpha Omega Christian Counseling, St. Louis, MO 63123 | 2015-03-02 |
| 1225436959 | Shelley Stretch | Counselor | 4066 Dunnica Avenue, St. Louis, MO 63118 | 2014-12-11 |
| 1598169120 | Vivian Carr | Counselor | 5266 Sir Bors Drive, St. Louis, MO 63129 | 2014-10-10 |
| 1639423296 | Daniella Elaine Harris | Counselor | 10000 Watson Rd., Suite 1l3, St. Louis, MO 63126-1843 | 2012-11-05 |
| 1013279157 | Jeanna Rufet Knight | Counselor | 2173 Palestra Drive, Apt. 3, St. Louis, MO 63146 | 2012-06-14 |
| 1679760276 | Joan M Brackmann | Counselor | 3672 B Arsenal St., St. Louis, MO 63116-4821 | 2007-09-27 |
| 1851519409 | Ajuma Kaleem Muhammad | Counselor | 12052 Cato Dr., St. Louis, MO 63033 | 2007-04-20 |
| 1407972250 | Mary E Harper | Counselor | 1066 Executive Parkway Drive, Suite 103, St. Louis, MO 63141 | 2007-03-22 |
| Find all providers in ST. LOUIS | ||||
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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.