Organization
PSYCH CARE CONSULTANTS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. IRSHAD KHAN (ADMINISTRATOR)
(314) 843-4333
Entity
Organization
Contact information
Practice address
5000 CEDAR PLAZA PKWY, SUITE 350, SAINT LOUIS, MO 63128-3854
(314) 843-4333
(314) 843-4856
Mailing address
5000 CEDAR PLAZA PKWY, SUITE 350, SAINT LOUIS, MO 63128-3854
(314) 843-4333
(314) 843-4856
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
00000
MO
103T00000X
Psychologist
00000
MO
1041C0700X
Clinical Social Worker
00000
MO
163WP0808X
Psychiatric/Mental Health Registered Nurse
00000
MO
2084P0800X
Psychiatry Physician
Primary
00000
MO
Other
Enumeration date
07/26/2005
Last updated
07/12/2007
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