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Organization
MERCY CLINIC CHILD AND ADOLESCENT PSYCHIATRY, LLC
Active
Organization
MERCY CLINIC CHILD AND ADOLESCENT PSYCHIATRY, LLC
Active
Parent organization
MERCY CLINIC EAST COMMUNITIES
Organization subpart
Yes
Provider details
NPI number
Legal business name
MERCY CLINIC EAST COMMUNITIES
Authorized official
KERRY DUNGER (EXECUTIVE DIRECTOR - FINANCE)
(314) 364-3707
Entity
Organization
Contact information
Practice address
615 S NEW BALLAS RD, EDGEWOOD CENTER, SAINT LOUIS, MO 63141-8221
(314) 251-6898
Mailing address
615 S NEW BALLAS RD, SAINT LOUIS, MO 63141-8221
(314) 251-6898
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
NULL
101Y00000X
Counselor
—
—
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
NULL
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
—
NULL
101YM0800X
Mental Health Counselor
—
—
103TA0400X
Addiction (Substance Use Disorder) Psychologist
—
NULL
103TA0400X
Addiction (Substance Use Disorder) Psychologist
—
—
103TB0200X
Cognitive & Behavioral Psychologist
—
NULL
103TB0200X
Cognitive & Behavioral Psychologist
—
—
104100000X
Social Worker
—
NULL
104100000X
Social Worker
—
—
2084P0800X
Psychiatry Physician
—
NULL
2084P0800X
Psychiatry Physician
—
—
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
—
NULL
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
—
—
Other
Enumeration date
03/07/2007
Last updated
04/28/2025
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