Organization
ZECARICH INCORPORATED
Active
Other names
Ellie Mental Health
Organization subpart
No
Provider details
NPI number
Authorized official
PAMELA LATARSHA BUCHANAN (OWNER/PRESIDENT)
(636) 866-2308
Entity
Organization
Contact information
Practice address
844 N NEW BALLAS CT, CREVE COEUR, MO 63141-7174
(314) 482-5223
Mailing address
844 N NEW BALLAS CT, CREVE COEUR, MO 63141-7174
(314) 482-5223
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
—
Other
Enumeration date
06/28/2022
Last updated
06/28/2022
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