Organization
CELEBRATIONPOINTE
Active
Other names
The Community Counseling and Housing Services
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARVIN SHELTON ED.D, ED.S, RSAP, (CEO)
(314) 580-3029
Entity
Organization
Contact information
Practice address
6110 HOWDERSHELL RD, HAZELWOOD, MO 63042-1170
(314) 580-3029
Mailing address
6110 HOWDERSHELL RD, HAZELWOOD, MO 63042-1170
(314) 580-3029
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
—
—
207R00000X
Internal Medicine Physician
—
—
2083S0010X
Sports Medicine (Preventive Medicine) Physician
—
—
2084P0802X
Addiction Psychiatry Physician
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
261QP2300X
Primary Care Clinic/Center
—
—
261QR0401X
Comprehensive Outpatient Rehabilitation Facility (CORF)
Primary
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
—
—
261QX0100X
Occupational Medicine Clinic/Center
—
—
3104A0625X
Assisted Living Facility (Mental Illness)
—
—
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
—
—
3245S0500X
Children's Substance Abuse Rehabilitation Facility
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500075300
—
MO
Enumeration date
08/26/2019
Last updated
04/17/2020
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