# MERCY CLINIC CHILD AND ADOLESCENT PSYCHIATRY, LLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** MERCY CLINIC EAST COMMUNITIES
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1265562300
- **Legal business name:** MERCY CLINIC EAST COMMUNITIES
- **Authorized official:** KERRY DUNGER (EXECUTIVE DIRECTOR - FINANCE)
- **Authorized official phone:** (314) 364-3707

## Contact information

- **Practice address:** 615 S NEW BALLAS RD, EDGEWOOD CENTER, SAINT LOUIS, MO 63141-8221
- **Practice address phone:** (314) 251-6898
- **Mailing address:** 615 S NEW BALLAS RD, SAINT LOUIS, MO 63141-8221
- **Mailing address phone:** (314) 251-6898

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 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 | — | NULL | Yes |
| 2084P0804X | Child & Adolescent Psychiatry Physician | — | — | Yes |

## Other

- **Enumeration date:** 03/07/2007
- **Last updated:** 04/28/2025