Annie Malone Children And Family Service Center

LBN: Annie Malone Children And Family Service Center
Annie Malone Children And Family Service Center is an health care organization with primary practice located at 5355 Page Avenue , St. Louis MO 63112. The organization recently has 4 registered licenses in different health care specialties including Agencies / Local Education Agency (LEA), Ambulatory Health Care Facilities / Adolescent and Children Mental Health, Residential Treatment Facilities / Residential Treatment Facility, Emotionally Disturbed Children, Respite Care Facility / Respite Care. Ambulatory Health Care Facilities / Adolescent and Children Mental Health is the primary health care specialty. Annie Malone Children And Family Service Center can be contacted via phone (314) 531-0120, or through Thomas, Channel Genise via phone (314) 565-1110.

Contact Information

Primary practice address
5355 Page Avenue St. Louis MO 63112
Phone: (314) 531-0120
Fax: (314) 531-0125
Website:
Map and Directions
Authorized official contact:
Name: Thomas, Channel Genise M.ED. LPC TF-CBT NCC
Phone: (314) 565-1110

Health care specialties

SpecialtyCodeLicense #State
Agencies / Local Education Agency (LEA) 251300000X SEO200902 Missouri
Ambulatory Health Care Facilities / Adolescent and Children Mental Health 261QM0855X
Residential Treatment Facilities / Residential Treatment Facility, Emotionally Disturbed Children 322D00000X 002136058 Missouri
Respite Care Facility / Respite Care 385H00000X 001305902 Missouri

Profile Details

NPI number 1942449194
LBN Legal business name Annie Malone Children And Family Service Center
DBA Doing business as
Authorized official Thomas, Channel Genise M.ED. LPC TF-CBT NCC
Entity Organization
Organization subpart 1 No
Enumeration date Feb 11th, 2009
Last updated Feb 5th, 2020 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1942449194 NPPES
Missouri MEDICAID 1942449194
Missouri MEDICAID 506278209

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