| Organization Name: | KARIS HOUSE COMMUNITY COUSNELING CENTER |
| NPI Number: | 1588057350 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | MATTHEW HENDERICKSON (ADMINSTRATOR) |
| Mailing Address: | 2811 S Kingshighway Blvd Saint Louis |
| State: | MO US |
| Postal Code: | 631391006 |
| Phone Number: | 3148028805 |
| Fax Number: | 3142551852 |
| NPI Enumeration Date: | 03/18/2015 |
| NPI Last Update Date: | 03/18/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101Y00000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |