Provident Behavioral Health
LBN: Provident Inc.
Provident Behavioral Health is an health care organization with primary practice located at 2650 Olive St , Saint Louis MO 63103-1424. The organization recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Behavioral Health & Social Service Providers / Mental Health is the primary health care specialty.
Provident Inc. can be contacted via phone (314) 371-6500, or through Schlemmer, Kathy S via phone (314) 802-2647.
Contact Information
Primary practice address
2650 Olive St
Saint Louis MO 63103-1424
Phone: (314) 371-6500
Fax: (314) 371-1155
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | ||
| Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health | 363LP0808X |
Profile Details
| NPI number | 1710023791 |
|---|---|
| LBN Legal business name | Provident Inc. |
| DBA Doing business as | Provident Behavioral Health |
| Authorized official | Schlemmer, Kathy S |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jan 29th, 2007 |
| Last updated | Oct 5th, 2022 - about 2 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1710023791 | NPPES |
| Missouri | Other | MA5670 | MEDICARE ID |
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