Organization
BRACKS FAMILY COUNSELING
Active
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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