| Doctor Name: | CHARLES HORSTMEIER |
| NPI Number: | 1083613657 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | LCSW |
| License Number: | 000521 |
| Business Practice Address: | 4200 Cloverleaf Drive Suite J- K Saint Peters, MO - 63376 |
| Business Phone Number: | 6369285109 |
| Business Fax Number: | 6364474678 |
| Mailing Address: | 5000 Cedar Plaza Parkway, Ste 350 SAINT LOUIS |
| State: | MO |
| Postal Code: | 631283441 |
| Phone Number: | 3148434333 |
| Fax Number: | 3148434856 |
| NPI Enumeration Date: | 07/18/2005 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | 000521 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MO |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |