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Organization
FAMILY CARE COUNSELING LLC
Active
Organization
FAMILY CARE COUNSELING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SRINIVAS CHILAKAMARRI MD (PRESIDENT OWNER)
(314) 849-0450
Entity
Organization
Contact information
Practice address
1699 JEFFCO BLVD, ARNOLD, MO 63010
(636) 287-1444
(636) 287-1834
Mailing address
1699 JEFFCO BLVD, ARNOLD, MO 63010
(636) 287-1444
(636) 287-1834
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
NULL
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
—
NULL
101YM0800X
Mental Health Counselor
—
—
103TP2701X
Group Psychotherapy Psychologist
—
NULL
103TP2701X
Group Psychotherapy Psychologist
—
—
106H00000X
Marriage & Family Therapist
—
NULL
106H00000X
Marriage & Family Therapist
—
—
163WP0808X
Psychiatric/Mental Health Registered Nurse
—
NULL
163WP0808X
Psychiatric/Mental Health Registered Nurse
—
—
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
—
NULL
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
—
—
2084A0401X
Addiction Medicine (Psychiatry & Neurology) Physician
—
NULL
2084A0401X
Addiction Medicine (Psychiatry & Neurology) Physician
—
—
2084P0802X
Addiction Psychiatry Physician
Primary
—
NULL
2084P0802X
Addiction Psychiatry Physician
Primary
—
—
Other
Enumeration date
08/04/2008
Last updated
08/05/2008
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