Jerry Waggoner Lpc L.L.C.

LBN: Jerry Waggoner Lpc L.L.C.
Jerry Waggoner Lpc L.L.C. is an health care organization with primary practice located at 1000 Lake Saint Louis Blvd Ste 260 , Lake Saint Louis MO 63367-2924. The organization recently has only one registered license in Agencies / Community/Behavioral Health, which is considered as the primary health care specialty. Jerry Waggoner Lpc L.L.C. can be contacted via phone (314) 994-9344, or through Waggoner, Jerry via phone (636) 633-1980.

Contact Information

Primary practice address
1000 Lake Saint Louis Blvd Ste 260 Lake Saint Louis MO 63367-2924
Phone: (314) 994-9344
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Waggoner, Jerry Licensed Professional Counselor (LPC)
Phone: (636) 633-1980

Health care specialties

SpecialtyCodeLicense #State
Agencies / Community/Behavioral Health 251S00000X 001573 Missouri

Profile Details

NPI number 1548546583
LBN Legal business name Jerry Waggoner Lpc L.L.C.
DBA Doing business as
Authorized official Waggoner, Jerry Licensed Professional Counselor (LPC)
Entity Organization
Organization subpart 1 No
Enumeration date Oct 21st, 2011
Last updated Oct 21st, 2011 - about 13 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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