Organization
ST. JOHN'S MERCY HEALTH SERVICES, LLC
Active
Other names
St. John's Mercy Managed Behavioral Health
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SCOTT FREDERICK PH.D (DIRECTOR)
(314) 729-4639
Entity
Organization
Contact information
Practice address
1000 DES PERES RD, SUITE 200C, SAINT LOUIS, MO 63131-2050
(314) 729-4639
Mailing address
1000 DES PERES RD, SUITE 200C, SAINT LOUIS, MO 63131-2050
(314) 729-4639
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
103TA0400X
Addiction (Substance Use Disorder) Psychologist
Primary
—
—
103TB0200X
Cognitive & Behavioral Psychologist
—
—
1041C0700X
Clinical Social Worker
—
—
Other
Enumeration date
01/30/2007
Last updated
09/11/2025
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