Provider Demographics
NPI:1285049866
Name:EIGHTYTWENTYCUNSULTING
Entity type:Organization
Organization Name:EIGHTYTWENTYCUNSULTING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:COUNSELOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:TERESA
Authorized Official - Middle Name:LOUISE
Authorized Official - Last Name:GUNTER
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:314-852-7636
Mailing Address - Street 1:2514 HELEN AVE
Mailing Address - Street 2:
Mailing Address - City:BRENTWOOD
Mailing Address - State:MO
Mailing Address - Zip Code:63144-2523
Mailing Address - Country:US
Mailing Address - Phone:314-852-7636
Mailing Address - Fax:
Practice Address - Street 1:737 DUNN RD
Practice Address - Street 2:
Practice Address - City:HAZELWOOD
Practice Address - State:MO
Practice Address - Zip Code:63042-1740
Practice Address - Country:US
Practice Address - Phone:314-852-7636
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-06-23
Last Update Date:2014-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health