Organization
LUTHERAN FAMILY AND CHILDREN'S SERVICES OF MISSOURI
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. PAULETTE M FOERSTER ACSW, LCSW (VICE PRESIDENT OF PROGRAMS)
(314) 754-2776
Entity
Organization
Contact information
Practice address
9666 OLIVE BLVD, ST. LOUIS, MO 63132
(314) 787-5100
(314) 754-2800
Mailing address
9666 OLIVE BLVD, ST. LOUIS, MO 63132-3013
(314) 787-5100
(314) 754-2800
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
990001149
MEDICARE PTAN
MO
Enumeration date
07/10/2006
Last updated
03/23/2016
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