| Organization Name: | DOUBLE RAINBOW COUNSELING |
| NPI Number: | 1164790309 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | PATRICK J. FLEMING (CLINICAL SOCIAL WORKER/OWNER) |
| Mailing Address: | 412 S. Clay Ave Suite 201 Kirkwood |
| State: | MO US |
| Postal Code: | 63122 |
| Phone Number: | 3148229696 |
| Fax Number: | 3148229696 |
| NPI Enumeration Date: | 12/02/2011 |
| NPI Last Update Date: | 12/08/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | 000173 |
| 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 |