Organization
PHOENIX BEHAVIORAL HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ZHANNA KEETON (FOUNDER CEO)
(636) 324-3388
Entity
Organization
Contact information
Practice address
1034 S BRENTWOOD BLVD STE 555, SAINT LOUIS, MO 63117-1265
(636) 324-3388
(636) 688-8047
Mailing address
1034 S BRENTWOOD BLVD STE 555, SAINT LOUIS, MO 63117-1265
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
—
—
251E00000X
Home Health Agency
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
04/22/2020
Last updated
11/27/2023
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