Organization
OPEN GATE THERAPY LLC
Active
Other names
Open Gate Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
KATHERINE C MACLEOD LCSW (LCSW)
(314) 498-7327
Entity
Organization
Contact information
Practice address
6220 S LINDBERGH BLVD STE 300, SAINT LOUIS, MO 63123-7839
(314) 498-7327
Mailing address
5602 HANCOCK AVE, SAINT LOUIS, MO 63139-1518
(314) 498-7327
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NA
NA
MO
Enumeration date
04/03/2019
Last updated
03/08/2022
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