Buck Hall, Alicia D

Buck Hall, Alicia D is an sole proprietor health care provider with primary practice located at 449 N Euclid Ave Ste 300 , Saint Louis MO 63108-1609. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center), Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Buck Hall, Alicia D can be contacted via phone (314) 475-8532.

Contact Information

Primary practice address
449 N Euclid Ave Ste 300 Saint Louis MO 63108-1609
Phone: (314) 475-8532
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 2017042558 Missouri
Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) 261QM0801X
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 2017042558 Missouri

Profile Details

NPI number 1740701374
LBN Legal business name Buck Hall, Alicia D
Credentials Licensed Professional Counselor (LPC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 5th, 2017
Last updated Nov 16th, 2021 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1740701374 NPPES
Missouri MEDICAID 490051600
Missouri MEDICAID 500099408

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