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Individual

TANYA L CREWS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPC, NCC, RPT-S

Contact information

Practice address
16100 CHESTERFIELD PKWY W, SUITE 215, CHESTERFIELD, MO 63017-4871
(636) 728-0510
(636) 728-0511
Mailing address
16622 HIGHLAND SUMMIT DR, WILDWOOD, MO 63011-5423
(636) 728-0510
(636) 728-0511

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0007327169
AETNS
MO
01
001245816
CTS
MO
01
1097649
CIGNA
MO
01
11563438
CAQH
MO
01
152896
BLUE CROSS/BLUE SHIELD
MO
01
390709
WELLCARE
MO
01
406872
HEALTHLINK
MO
05
497854414
MO
01
59360
CARPENTERS
MO
01
6280047
UNITED HEALTHCARE
MO
01
818776
VALUE OPTIONS
MO
Enumeration date
12/06/2005
Last updated
04/24/2008
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