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Organization

RCSQUARED ENTERPRISES, LLC

Active
Find providers by NPI
Organization

RCSQUARED ENTERPRISES, LLC

Active
Other names
Ellie Mental Health of St. Peters
Organization subpart
No

Provider details

NPI number
Authorized official
JANICE WADE LMFT (CLINIC DIRECTOR)
(636) 345-4744
Entity
Organization

Contact information

Practice address
150 SAINT PETERS CENTRE BLVD STE B, SAINT PETERS, MO 63376-1653
(615) 830-7546
(877) 767-3926
Mailing address
425 WILLOWBROOK BND, CAPE GIRARDEAU, MO 63701-9674
(270) 703-8917
(877) 767-3926

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
Primary
—
—
102L00000X
Psychoanalyst
—
—
103G00000X
Clinical Neuropsychologist
—
—
103T00000X
Psychologist
—
—
103TC0700X
Clinical Psychologist
—
—
103TC1900X
Counseling Psychologist
—
—
103TP2701X
Group Psychotherapy Psychologist
—
—
1041C0700X
Clinical Social Worker
—
—
106H00000X
Marriage & Family Therapist
—
—

Other

Enumeration date
09/13/2022
Last updated
04/04/2024
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