Community And Long-Term Care Psychiatry Llc
LBN: Community And Long-Term Care Psychiatry Llc
Community And Long-Term Care Psychiatry Llc is an health care organization with primary practice located at 10004 Kennerly Rd Ste 362B , Saint Louis MO 63128-2178. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Psychosomatic Medicine, Allopathic & Osteopathic Physicians / Psychiatry. Allopathic & Osteopathic Physicians / Psychiatry is the primary health care specialty.
Community And Long-Term Care Psychiatry Llc can be contacted via phone (314) 525-5050, or through Graypel, Ernest Alexander via phone (314) 267-1075.
Contact Information
Primary practice address
10004 Kennerly Rd Ste 362B
Saint Louis MO 63128-2178
Phone: (314) 525-5050
Fax: (314) 525-5072
Website:
Authorized official contact:
Name: Graypel, Ernest Alexander Doctor of Medicine (MD)
Phone: (314) 267-1075
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Psychosomatic Medicine | 2084P0015X | 2015002634 | Missouri |
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | 2015002634 | Missouri |
Profile Details
| NPI number | 1699121475 |
|---|---|
| LBN Legal business name | Community And Long-Term Care Psychiatry Llc |
| DBA Doing business as | |
| Authorized official | Graypel, Ernest Alexander Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | May 10th, 2016 |
| Last updated | Jan 17th, 2024 - about last year |
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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1699121475 | NPPES |
| Missouri | MEDICAID | 1265723407 | |
| Missouri | Other | 156440095 | |
| Missouri | Other | P01585490 |
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