STEPHANIE LAURETTE EDWARDS (NPI# 1972150373) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1972150373 |
Entity Type | Individual |
Full Name | STEPHANIE LAURETTE EDWARDS |
Credential | MA |
Practice Address |
3608 Hereford St Saint Louis MO 63109-1771 |
Practice Telephone | 3142430815 |
Mailing Telephone | 3142430815 |
Enumeration Date | 2019-08-20 |
Last Update Date | 2019-08-20 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1740773605 | Stephanie Edwards | Dietitian, Registered | 2 Sherwood Dr, Medway, MA 02053-1680 | 2018-06-14 |
1245601129 | Stephanie Edwards | Student in an Organized Health Care Education/Training Program | 8401 73rd Ave N, Minneapolis, MN 55428-1505 | 2015-10-17 |
1932316452 | Stephanie Edwards | Occupational Therapist | 311 E Beacon Rd, Lakeland, FL 33803-2607 | 2007-05-16 |
1598379141 | Stephanie Edwards | Occupational Therapist | 716 Indian Trl Ste 140, Harker Heights, TX 76548-5702 | 2020-09-01 |
1477199826 | Stephanie Lynn Edwards | Occupational Therapist | 153 Brodhead Rd, Bethlehem, PA 18017-8931 | 2019-11-20 |
1033771829 | Stephanie Edwards | Social Worker | 104 S Front Ave, Prestonsburg, KY 41653-1614 | 2019-07-02 |
1417412362 | Stephanie L Edwards | Family Medicine | 1408 N Florence Ave, Claremore, OK 74017 | 2019-02-05 |
1891263430 | Stephanie Edwards | Student in an Organized Health Care Education/Training Program | 1000 N Oak Ave, Marshfield, WI 54449-5703 | 2018-11-12 |
1588171128 | Stephanie Edwards | Nurse Practitioner | 1120 E Main St Ste 24, Philadelphia, MS 39350-2300 | 2018-01-04 |
1548705650 | Stephanie Edwards | Nurse Practitioner | 3081 Lorna Rd Ste 101, Birmingham, AL 35216-4509 | 2016-12-28 |
Street Address |
3608 HEREFORD ST |
City | SAINT LOUIS |
State | MO |
Zip Code | 63109-1771 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1013431907 | James Edward Trout | Community Health Worker | 3956 Wenzlick Ave, St Louis, MO 63109 | 2017-08-01 |
1750815023 | Andrea Hyde | Nurse Practitioner | 5302 Chippewa Street, Suite 301, St Louis, MO 63109 | 2017-04-13 |
1215362124 | Alex Sharifian Dds Francis Park Dentistry PC | Dentist | 6650 Chippewa Street, Saint Louis, MO 63109 | 2013-09-10 |
1881993962 | Rachel Elizabeth Hale Hasper | Counselor | 6555 Chippewa, St Louis, MO 63109 | 2011-03-15 |
1730369885 | Janis Marie Lampa | Physical Therapist | 5203 Chippewa, Suite 301, St. Louis, MO 63109 | 2007-11-06 |
1285753772 | James Matthew Jordan | Occupational Therapist | 32 Hampton Village Plaza, St Louis, MO 63109 | 2007-03-28 |
1730224478 | Mercy Health Services, LLC | Optometrist | 34 Hampton Village Plaza, St. Louis, MO 63109 | 2007-02-20 |
1801959903 | John Thomas Doyle | Dentist | 5400 Walsh St, St Louis, MO 63109 | 2006-12-19 |
1649339771 | Residencial Services Corporation | Assisted Living Facility | 5890 Eichelberger, St Louis, MO 63109 | 2006-12-06 |
1316039852 | Gary Raymond Rieser | Dentist | 3915 Watson Road, Suite 205, Saint Louis, MO 63109 | 2006-09-29 |
Find all providers in zip 63109 |
Taxonomy Code | 101YM0800X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
Specialization | Mental Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1235736588 | Roberta Kerosevic | Counselor | 12203 Big Bend Rd Ste 101, Saint Louis, MO 63122-6848 | 2020-10-08 |
1528665726 | Kimberly Cappetta | Counselor | 4567 W Pine Blvd Apt 710, Saint Louis, MO 63108-2192 | 2020-10-01 |
1508475534 | Elizabeth (lisa) Pullen Will-smith | Counselor | 6649 Hoffman Ave, Saint Louis, MO 63139-2546 | 2020-07-27 |
1689297970 | Joy Montrice Camp | Counselor | 1126 N 16th St, Saint Louis, MO 63106-3736 | 2020-05-21 |
1568084622 | Amy Turk | Counselor | 701 Luckystone Ave, Saint Louis, MO 63122-3245 | 2020-05-12 |
1588285647 | Jesse Sieger-walls | Counselor | 32 Bellerive Acres, Saint Louis, MO 63121-4321 | 2020-04-29 |
1265061394 | Victoria Kyles | Counselor | 124 Forestwood Dr, Saint Louis, MO 63135-2827 | 2020-04-01 |
1790312528 | Sarah Williford | Counselor | 8420 Delmar Blvd Ste 301, Saint Louis, MO 63124-2178 | 2020-03-23 |
1033745005 | Casey Robert Thompson | Counselor | 600 Buckley Rd, Saint Louis, MO 63125-5303 | 2020-03-20 |
1891328613 | Jessica Kay Dowling | Counselor | 3008 Sutton Blvd Ste 200, Saint Louis, MO 63143-3064 | 2020-02-20 |
Find all providers in SAINT LOUIS |
City | SAINT LOUIS |
Zip Code | 63109 |
Please comment or provide details below to improve the information on STEPHANIE LAURETTE EDWARDS.
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.