SHELLEY STRETCH


Address: 4066 Dunnica Avenue, St. Louis, MO 63118
Phone: 3147722205

SHELLEY STRETCH (NPI# 1225436959) 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) 1225436959
Entity Type Individual
Full Name SHELLEY STRETCH
Credential LPC
Practice Address 4066 Dunnica Avenue
St. Louis
MO 63118
Mailing Address 900 E Laharpe St
Kirksville
MO 63501-4520
Practice Telephone 3147722205
Practice Fax Number 3147729264
Mailing Telephone 6606651962
Mailing Fax Number 6606653989
Enumeration Date 2014-12-11
Last Update Date 2014-12-11
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YP2500X Counselor
Specialization: Professional
2012037164 MO Behavioral Health & Social Service Providers

Office Location

Street Address 4066 DUNNICA AVENUE
City ST. LOUIS
State MO
Zip Code 63118

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1770149023 Clouds of Care In-home Healthcare Services LLC Hospice Care, Community Based 3450 Magnolia Ave, Saint Louis, MO 63118 2019-05-13
1154839488 Serenity Gardens Home Health Services LLC. Home Health 3002 S Jefferson Ave Ste 201, Saint Louis, MO 63118 2018-01-22
1861917759 Freedom Day Center, LLC Meals 3309 Meramec Street, Saint Louis, MO 63118 2017-08-11
1669901450 Stanley Eziukwu Student in an Organized Health Care Education/Training Program 3535 S Jefferson Ave Ste 104, Saint Louis, MO 63118 2017-06-06
1467987651 Hinna Shahid Internal Medicine 3545 South Jefferson Ave, St. Louis, MO 63118 2017-04-25
1821406174 Preferred Family Healthcare, Inc Substance Abuse Rehabilitation Facility 4066 Dunnica, Saint Louis, MO 63118 2014-07-31
1275898173 Stephanie Lynn Cullinan Optometrist 3122 S Grand, St. Louis, MO 63118 2012-07-07
1174822555 Morgan Patrick Morris Chiropractor 3611 S. Grand Blvd, Suite 200, Saint Louis, MO 63118 2011-03-24
1043481955 Victor Rivera Md LLC Obstetrics & Gynecology 3535 S Jefferson, Suite 106, St Louis, MO 63118 2008-03-19
1659576205 Forest Park Pharmacy Pharmacy 3535 S. Jefferson Ave, Ste (s-1), St Louis, MO 63118 2007-06-15
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Taxonomy Information

Taxonomy Code 101YP2500X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Professional

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1215491329 Latonya Allen Counselor 1612 S. Big Bend Blvd, St. Louis, MO 63117 2019-01-23
1861901480 Christina Cummings Counselor 5387 Pershing Ave., Apt. A, St. Louis, MO 63112 2017-09-26
1114319092 Kathi Wallace Counselor 11166 Tesson Ferry Rd., Suite #203 Alpha Omega Christian Counseling, St. Louis, MO 63123 2015-03-02
1598169120 Vivian Carr Counselor 5266 Sir Bors Drive, St. Louis, MO 63129 2014-10-10
1639423296 Daniella Elaine Harris Counselor 10000 Watson Rd., Suite 1l3, St. Louis, MO 63126-1843 2012-11-05
1013279157 Jeanna Rufet Knight Counselor 2173 Palestra Drive, Apt. 3, St. Louis, MO 63146 2012-06-14
1679760276 Joan M Brackmann Counselor 3672 B Arsenal St., St. Louis, MO 63116-4821 2007-09-27
1851519409 Ajuma Kaleem Muhammad Counselor 12052 Cato Dr., St. Louis, MO 63033 2007-04-20
1407972250 Mary E Harper Counselor 1066 Executive Parkway Drive, Suite 103, St. Louis, MO 63141 2007-03-22
1376677724 Michelle Meier Counselor 110 N. Elm, St. Louis, MO 63119 2007-03-16
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Competitor

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City ST. LOUIS
Zip Code 63118

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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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