Organization Name: | VERIA COUNSELING, LLC |
NPI Number: | 1083086474 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | MEDELYN MINOR (OWNER) |
Mailing Address: | 1550 Wall St Suite 244 Saint Charles |
State: | MO US |
Postal Code: | 633033545 |
Phone Number: | 3146503905 |
Fax Number: | 3148902034 |
NPI Enumeration Date: | 10/23/2015 |
NPI Last Update Date: | 10/23/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | 2005009307 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MO |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |