Provider Demographics
NPI:1487271839
Name:IRMA HAGARTY COUNSELING SERVICES LLC
Entity type:Organization
Organization Name:IRMA HAGARTY COUNSELING SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LICENSED PROFESSIONAL COUNSELOR
Authorized Official - Prefix:
Authorized Official - First Name:IRMA
Authorized Official - Middle Name:
Authorized Official - Last Name:HAGARTY
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:314-252-8539
Mailing Address - Street 1:3720 SUMMERLYN CT
Mailing Address - Street 2:
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63129-2355
Mailing Address - Country:US
Mailing Address - Phone:314-397-2830
Mailing Address - Fax:
Practice Address - Street 1:9450 MANCHESTER RD STE 204
Practice Address - Street 2:
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63119-1452
Practice Address - Country:US
Practice Address - Phone:314-252-8539
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-07-01
Last Update Date:2020-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health