STEPHANIE LAURETTE EDWARDS


Address: 3608 Hereford St, Saint Louis, MO 63109-1771
Phone: 3142430815

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YM0800X Counselor
Specialization: Mental Health
Behavioral Health & Social Service Providers

Other Providers STEPHANIE EDWARDS

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

Office Location

Street Address 3608 HEREFORD ST
City SAINT LOUIS
State MO
Zip Code 63109-1771

Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 101YM0800X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Mental Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

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
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Competitor

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City SAINT LOUIS
Zip Code 63109

Improve Information

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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.

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