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Organization
MAYDAI TRAUMA FOCUSED CLINICAL NETWORK AND RESEARCH CENTER LLC
Active
Organization
MAYDAI TRAUMA FOCUSED CLINICAL NETWORK AND RESEARCH CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KORY L MAY LCSW (CEO/PRESIDENT)
(618) 741-9635
Entity
Organization
Contact information
Practice address
4601 STATE ST STE 220, EAST SAINT LOUIS, IL 62205-1359
(618) 741-9635
Mailing address
3144 VIRGINIA PL, EAST SAINT LOUIS, IL 62207-1759
(618) 741-9635
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
103TC0700X
Clinical Psychologist
—
—
103TC2200X
Clinical Child & Adolescent Psychologist
—
—
103TP2701X
Group Psychotherapy Psychologist
—
—
1041C0700X
Clinical Social Worker
Primary
—
—
106H00000X
Marriage & Family Therapist
—
—
163WP0200X
Pediatric Registered Nurse
—
—
2084P0804X
Child & Adolescent Psychiatry Physician
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
405300000X
Prevention Professional
—
—
Other
Enumeration date
08/18/2021
Last updated
10/29/2021
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