Organization
NYSTROM COUNSELING MO, PC
Active
Other names
Sagent Behavioral Health
Organization subpart
No
Provider details
NPI number
Authorized official
ANN EIDEN (VP OF CORPORATE SERVICES)
(651) 379-1750
Entity
Organization
Contact information
Practice address
801 S WOODLAWN AVE STE 16, O FALLON, MO 63366-7647
(636) 379-1779
Mailing address
1900 SILVER LAKE RD NW STE 110, NEW BRIGHTON, MN 55112-1789
(651) 628-9566
(651) 628-0411
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
09/08/2023
Last updated
10/21/2025
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