THE CENTER FOR MINDFULNESS AND CBT, LLC


Address: 10845 Olive Blvd., Suite 150, St. Louis, MO 63141
Phone: 3145619757

THE CENTER FOR MINDFULNESS AND CBT, LLC (NPI# 1013267392) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1013267392
Entity Type Organization
Organization Name THE CENTER FOR MINDFULNESS AND CBT, LLC
Other Organization Name LAURA CHACKES PSY D LLC
Practice Address 10845 Olive Blvd.
Suite 150
St. Louis
MO 63141
Practice Telephone 3145619757
Practice Fax Number 3145619050
Mailing Telephone 3145619757
Mailing Fax Number 3145619050
Enumeration Date 2012-09-14
Last Update Date 2017-03-09
Authorized Official Name DR. LAURA CHACKES (PRESIDENT)
Authorized Official Telephone 3145619757
Authorized Official Credential PSY.D
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103TB0200X Psychologist
Specialization: Cognitive & Behavioral
2006027463 MO Behavioral Health & Social Service Providers

Other Provider/Organization Names

Other Name Type Code
Laura Chackes PSY D LLC Former Legal Business Name - Organization

Office Location

Street Address 10845 OLIVE BLVD.
SUITE 150
City ST. LOUIS
State MO
Zip Code 63141

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Taxonomy Information

Taxonomy Code 103TB0200X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist
Specialization Cognitive & Behavioral

Taxonomy Definition

Definition to come...
Notes: [1/1/2007: title modified]

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NPI Name Taxonomy Address Enumeration
1356553853 Allen Joseph Tamaren Psychologist 4 Rio Vista, St. Louis, MO 63124-1745 2007-05-04

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1740647791 Sarah Leech Kemp Psychologist 1328 Secluded Woods Dr, Camdenton, MO 65020-2556 2016-01-21
1265717466 Shawn Forrest Guiling Psychologist 615 N Broadview St, Suite 102, Cape Girardeau, MO 63701-4313 2011-10-19
1184933137 Susan D Reis & Associates Inc Psychologist 5131 Lemay Ferry Road, St,. Louis, MO 63129 2010-09-24
1427365667 Betterdays Network, Inc Psychologist 811 N Walnut St, Lone Jack, MO 64070-9321 2010-09-09
1134383193 Ashley June Smith Psychologist 6155 Oak St Ste C, Kansas City, MO 64113-2266 2008-07-17
1720240229 David Franklin Newman Psychologist 830 E High St, Jefferson City, MO 65101-4276 2008-06-26
1154588879 Robyn L Holmes Psychologist 210 Enchanted Pkwy, Apt 304, Manchester, MO 63021-5453 2008-05-20
1518136589 Shelley List Psychologist 7741 Gannon Ave, Saint Louis, MO 63130-2822 2008-02-25
1114108263 Linda Christine Ryan Psychologist 13601 S Us Highway 71, Grandview, MO 64030-3659 2007-11-16
1770773459 Joann Mcguire Psychologist 3100 S National Ave Ste 103, Springfield, MO 65807-7347 2007-07-28
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Competitor

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City ST. LOUIS
Zip Code 63141

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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