Organization
LOVE FOR ST. LOUIS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROBERT JOSEPH GRAYSON JR. (PRESIDENT & CEO)
(833) 588-4785
Entity
Organization
Contact information
Practice address
6 CARDINAL WAY STE 900, SAINT LOUIS, MO 63102-2807
(833) 588-4785
Mailing address
6 CARDINAL WAY STE 900, SAINT LOUIS, MO 63102-2807
(833) 588-4785
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
Primary
—
—
101YP2500X
Professional Counselor
—
—
103K00000X
Behavior Analyst
—
—
103TB0200X
Cognitive & Behavioral Psychologist
—
—
103TC0700X
Clinical Psychologist
—
—
103TC1900X
Counseling Psychologist
—
—
103TC2200X
Clinical Child & Adolescent Psychologist
—
—
103TP2701X
Group Psychotherapy Psychologist
—
—
1041C0700X
Clinical Social Worker
—
—
225XM0800X
Mental Health Occupational Therapist
—
—
Other
Enumeration date
02/10/2023
Last updated
10/04/2024
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