Organization Name: | KNUBLEY COUNSELING LLC |
NPI Number: | 1063748325 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | STEPHEN L KNUBLEY (MEMBER) |
Mailing Address: | 12813 Flushing Meadows Dr Suite 140 Des Peres |
State: | MO US |
Postal Code: | 631311835 |
Phone Number: | 3146302642 |
Fax Number: | 3149097073 |
NPI Enumeration Date: | 10/21/2009 |
NPI Last Update Date: | 10/21/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QM0850X |
License Number: | 2007035328 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MO |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Adult Mental Health |
Taxonomy Definition: | An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults. |