Organization
MERCY FAMILY THERAPY, LLC
Active
Parent organization
MERCY HOSPITALS EAST COMMUNITIES
Other names
St. John's Family Therapy Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
MERCY HOSPITALS EAST COMMUNITIES
Authorized official
JEFFREY A. JOHNSTON (PRESIDENT, MERCY HOSPITAL ST. LOUIS)
(314) 251-1932
Entity
Organization
Contact information
Practice address
970 EXECUTIVE PARKWAY DR, CREVE COEUR, MO 63141-6302
(314) 628-6550
Mailing address
970 EXECUTIVE PARKWAY DR, CREVE COEUR, MO 63141-6302
(314) 628-6550
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
103TB0200X
Cognitive & Behavioral Psychologist
—
—
103TC1900X
Counseling Psychologist
—
—
103TF0000X
Family Psychologist
Primary
—
—
103TP2701X
Group Psychotherapy Psychologist
—
—
106H00000X
Marriage & Family Therapist
—
—
2084P0800X
Psychiatry Physician
—
—
Other
Enumeration date
03/07/2007
Last updated
05/08/2014
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