Provider Demographics
NPI:1417040916
Name:ANOTHER WAY COUNSELING SERVICES, INC.
Entity type:Organization
Organization Name:ANOTHER WAY COUNSELING SERVICES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JOAN
Authorized Official - Middle Name:C
Authorized Official - Last Name:BRADY
Authorized Official - Suffix:
Authorized Official - Credentials:MSW, LCSW
Authorized Official - Phone:314-550-6097
Mailing Address - Street 1:1345 APOLLO DRIVE
Mailing Address - Street 2:
Mailing Address - City:ARNOLD
Mailing Address - State:MO
Mailing Address - Zip Code:63010-3001
Mailing Address - Country:US
Mailing Address - Phone:314-550-6097
Mailing Address - Fax:636-296-3290
Practice Address - Street 1:1331 JEFFCO BLVD.
Practice Address - Street 2:SUITE #4
Practice Address - City:ARNOLD
Practice Address - State:MO
Practice Address - Zip Code:63010-2165
Practice Address - Country:US
Practice Address - Phone:314-550-6097
Practice Address - Fax:636-296-3290
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-02
Last Update Date:2012-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MOSW0052991041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO499685626Medicaid