Eades, Virginia R
Eades, Virginia R is an sole proprietor health care provider with primary practice located at 707 Carman Meadows Dr , Ballwin MO 63021-7174. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Eades, Virginia R can be contacted via phone (636) 391-3310.Contact Information
Primary practice address
707 Carman Meadows Dr
Ballwin MO 63021-7174
Phone: (636) 391-3310
Fax: (636) 391-3310
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | LPC 002232 | Missouri |
Profile Details
| NPI number | 1528097201 |
|---|---|
| LBN Legal business name | Eades, Virginia R |
| Credentials | PHD., LPC |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 3rd, 2006 |
| Last updated | Jan 21st, 2008 - about 17 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1528097201 | NPPES |
| Missouri | Other | 122115 | BLUE CROSS BLUE SHIELD |
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