| Organization Name: | AVENUES COUNSELING CENTER |
| NPI Number: | 1104226323 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | LIANNE GIORDANO JOHNSON (EXECUTIVE DIRECTOR) |
| Mailing Address: | 1612 S Big Bend Blvd Richmond Heights |
| State: | MO US |
| Postal Code: | 631172208 |
| Phone Number: | 3145291391 |
| Fax Number: | |
| NPI Enumeration Date: | 08/25/2014 |
| NPI Last Update Date: | 08/25/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | 2003031565 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MO |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |