# MERCY FAMILY THERAPY, LLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** MERCY HOSPITALS EAST COMMUNITIES
- **Other names:** St. John's Family Therapy Center
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1285764324
- **Legal business name:** MERCY HOSPITALS EAST COMMUNITIES
- **Authorized official:** JEFFREY A. JOHNSTON (PRESIDENT, MERCY HOSPITAL ST. LOUIS)
- **Authorized official phone:** (314) 251-1932

## Contact information

- **Practice address:** 970 EXECUTIVE PARKWAY DR, CREVE COEUR, MO 63141-6302
- **Practice address phone:** (314) 628-6550
- **Mailing address:** 970 EXECUTIVE PARKWAY DR, CREVE COEUR, MO 63141-6302
- **Mailing address phone:** (314) 628-6550

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | — | NULL | — |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | — | — | — |
| 101YM0800X | Mental Health Counselor | — | NULL | — |
| 101YM0800X | Mental Health Counselor | — | — | — |
| 103TB0200X | Cognitive & Behavioral Psychologist | — | NULL | — |
| 103TB0200X | Cognitive & Behavioral Psychologist | — | — | — |
| 103TC1900X | Counseling Psychologist | — | NULL | — |
| 103TC1900X | Counseling Psychologist | — | — | — |
| 103TF0000X | Family Psychologist | — | NULL | Yes |
| 103TF0000X | Family Psychologist | — | — | Yes |
| 103TP2701X | Group Psychotherapy Psychologist | — | NULL | — |
| 103TP2701X | Group Psychotherapy Psychologist | — | — | — |
| 106H00000X | Marriage & Family Therapist | — | NULL | — |
| 106H00000X | Marriage & Family Therapist | — | — | — |
| 2084P0800X | Psychiatry Physician | — | NULL | — |
| 2084P0800X | Psychiatry Physician | — | — | — |

## Other

- **Enumeration date:** 03/07/2007
- **Last updated:** 05/08/2014