Organization
SYNERGY COUNSELING SERVICES
Active
Organization
SYNERGY COUNSELING SERVICES
Active
Parent organization
MARVIN STEVEN MILLER
Organization subpart
Yes
Provider details
NPI number
Legal business name
MARVIN STEVEN MILLER
Authorized official
MR. MARVIN STEVEN MILLER LPC (OWNER)
(314) 382-9318
Entity
Organization
Contact information
Practice address
9167 W FLORISSANT AVE, SAINT LOUIS, MO 63136-1420
(314) 382-9318
(314) 260-1922
Mailing address
9167 W FLORISSANT AVE, SAINT LOUIS, MO 63136-1420
(314) 382-9318
(314) 260-1922
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
2008008117
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1164736690
—
MO
Enumeration date
04/20/2012
Last updated
04/20/2012
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