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Organization

RCSQUARED ENTERPRISES, LLC

Active
Other names
Ellie Mental Health of St. Peters
Organization subpart
No

Provider details

NPI number
Authorized official
JANICE WADE LMFT (CLINIC DIRECTOR)
(636) 345-4744
Entity
Organization

Contact information

Practice address
150 SAINT PETERS CENTRE BLVD STE B, SAINT PETERS, MO 63376-1653
(615) 830-7546
(877) 767-3926
Mailing address
425 WILLOWBROOK BND, CAPE GIRARDEAU, MO 63701-9674
(270) 703-8917
(877) 767-3926

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
101YP2500X
Professional Counselor
Primary
102L00000X
Psychoanalyst
103G00000X
Clinical Neuropsychologist
103T00000X
Psychologist
103TC0700X
Clinical Psychologist
103TC1900X
Counseling Psychologist
103TP2701X
Group Psychotherapy Psychologist
1041C0700X
Clinical Social Worker
106H00000X
Marriage & Family Therapist

Other

Enumeration date
09/13/2022
Last updated
04/04/2024
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