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Organization

BRACKS FAMILY COUNSELING

Active
Other names
St. Louis Integrative Counseling
Organization subpart
No

Provider details

NPI number
Authorized official
MR. NATHANIEL TYLER BRACK LPC (OWNER)
(314) 626-0962
Entity
Organization

Contact information

Practice address
10805 SUNSET OFFICE DR STE 201, SAINT LOUIS, MO 63127-1026
(402) 975-5650
Mailing address
10805 SUNSET OFFICE DR STE 210, SAINT LOUIS, MO 63127-1026
(402) 975-5650

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)

Other

Enumeration date
04/08/2021
Last updated
09/28/2021
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