Organization
ATTENTION DEFICIT CENTER LLC
Active
Organization
ATTENTION DEFICIT CENTER LLC
Active
Other names
Affiliated Psychotherapist
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEVEN JOSEPH TENENBAUM PH.D. (DIRECTOR)
(314) 991-7779
Entity
Organization
Contact information
Practice address
777 S NEW BALLAS RD, SUITE 334 E., SAINT LOUIS, MO 63141-8705
(314) 991-7779
(314) 991-7779
Mailing address
777 S NEW BALLAS RD, SUITE 334 E., SAINT LOUIS, MO 63141-8705
(314) 991-7779
(314) 991-7779
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
CS001551
MO
103TC0700X
Clinical Psychologist
PY01309
MO
1041C0700X
Clinical Social Worker
SW000467
MO
1041C0700X
Clinical Social Worker
SW001286
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12204
BLUE CROSS BLUE SHIELD PR
MO
Enumeration date
06/18/2006
Last updated
09/11/2025
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