# INNOVATIVE MENTAL HEALTH SERVICES

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1841810025
- **Authorized official:** MRS. BRENDA D. BUSH FNP-C, PMHNP-BC (NURSE PRACTITIONER/PROVIDER)
- **Authorized official phone:** (314) 296-8933

## Contact information

- **Practice address:** 12747 OLIVE BLVD STE 300, SAINT LOUIS, MO 63141-6269
- **Practice address phone:** (314) 582-4398
- **Mailing address:** 1231 SHOREWINDS TRL, SAINT CHARLES, MO 63303-4833
- **Mailing address phone:** (314) 296-8933

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | NULL | Yes |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 04/17/2020
- **Last updated:** 05/06/2020