Provider Demographics
NPI:1396441630
Name:CALM COUNSELING & WELLNESS CENTER, LLC
Entity type:Organization
Organization Name:CALM COUNSELING & WELLNESS CENTER, LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ALINE
Authorized Official - Middle Name:
Authorized Official - Last Name:HANRAHAN
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:314-479-6280
Mailing Address - Street 1:691 TRADE CENTER BLVD STE XX
Mailing Address - Street 2:
Mailing Address - City:CHESTERFIELD
Mailing Address - State:MO
Mailing Address - Zip Code:63005-1279
Mailing Address - Country:US
Mailing Address - Phone:314-479-6280
Mailing Address - Fax:
Practice Address - Street 1:691 TRADE CENTER BLVD STE XX
Practice Address - Street 2:
Practice Address - City:CHESTERFIELD
Practice Address - State:MO
Practice Address - Zip Code:63005-1279
Practice Address - Country:US
Practice Address - Phone:314-479-6280
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-02-07
Last Update Date:2023-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)