VESTA COLVIN


Address: 569 Melville Ave, Saint Louis, MO 63130-4580
Phone: 3147626363

VESTA COLVIN (NPI# 1245690841) 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) 1245690841
Entity Type Individual
Full Name VESTA COLVIN
Credential LPC
Practice Address 569 Melville Ave
Saint Louis
MO 63130-4580
Mailing Address 3548 Tennessee Ave
Saint Louis
MO 63118-3506
Practice Telephone 3147626363
Mailing Telephone 3144488983
Enumeration Date 2016-02-25
Last Update Date 2020-04-10
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 101YA0400X Counselor
Specialization: Addiction (Substance Use Disorder)
Behavioral Health & Social Service Providers
N 101YM0800X Counselor
Specialization: Mental Health
Behavioral Health & Social Service Providers
Y 101YP2500X Counselor
Specialization: Professional
2017043246 MO Behavioral Health & Social Service Providers
N 101YS0200X Counselor
Specialization: School
Behavioral Health & Social Service Providers
N 171M00000X Case Manager/Care Coordinator Other Service Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
1430 Olive St, Saint Louis, MO 631032303 3142063700

Office Location

Street Address 569 MELVILLE AVE
City SAINT LOUIS
State MO
Zip Code 63130-4580

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1568008282 Latrece Smith Social Worker 1270 North and South Road, St. Louis, MO 63130 2019-11-18
1134602576 Hatfill & Boothe Corp Chore Provider 7819 Olive Blvd, St Louis, MO 63130 2018-09-12
1285152041 Above and Beyond Home Health Cares Corporation In Home Supportive Care 7251 Olive, St Louis, MO 63130 2017-08-31
1780114918 Deborah Ann Zorensky Dietitian, Registered 7649 Delmar Blvd., The Center for Mind, Body & Spirit, St. Louis, MO 63130 2017-06-20
1548612419 Bella Home Care LLC In Home Supportive Care 8147 Delmar Blvd Ste 208, Saint Louis, MO 63130 2016-07-05
1225487341 Daniel Shenderov Chore Provider 8127 Delmar Blvd #208, Saint Louis, MO 63130 2016-06-09
1497012322 A Better Choice Homecare, Inc In Home Supportive Care 606 North and South Road, Suite 200, Saint Louis, MO 63130 2012-04-17
1306150958 Lisa J. Mcdonald, Dmd, Inc. Dentist 7247 Delmar Boulevard, St Louis, MO 63130 2010-08-05
1114247939 United Care Service LLC Non-emergency Medical Transport (VAN) 8147 Delmar Blvd. #2, St.louis, MO 63130 2010-06-03
1770759771 Reynold's Inc. Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 7460 Cornell Ave, Saint Louis, MO 63130 2008-04-30
Find all providers in zip 63130

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
1841899374 Christopher Seigel Counselor 5317 Mild Dr, Saint Louis, MO 63129-3109 2020-10-26
1467067504 Anne Margaret Perkins Counselor 9733 Saint Charles Rock Rd, Saint Louis, MO 63114-2625 2020-09-15
1730792722 Aryn Bostic Counselor 7584 Olive Blvd Ste 203, Saint Louis, MO 63130-1600 2020-08-28
1417568932 Child and Family Empowerment Center Counselor 800 N Tucker Blvd Fl 1, Saint Louis, MO 63101-1008 2020-08-10
1720603830 Kelly Marie Buckley Counselor 5939 Hilgard Pl, Saint Louis, MO 63109-3445 2020-06-15
1407479207 Lauren Elizabeth Summers Counselor 6261 Reber Pl, Saint Louis, MO 63139-2617 2020-05-27
1306469960 Walter Robert Scull Counselor 1300 Kirkham Ave, Saint Louis, MO 63122-3127 2020-05-18
1982226759 David Mcgraw Counselor 28 Reasor Dr, Saint Louis, MO 63135-1125 2020-05-14
1992326565 Chantrell M Carter Counselor 5027 Mardel Ave, Saint Louis, MO 63109-1731 2020-05-05
1508486333 Evelyn Aviva Witten Counselor 130 S Bemiston Ave Ste 604, Saint Louis, MO 63105-1913 2020-04-22
Find all providers in SAINT LOUIS

Competitor

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City SAINT LOUIS
Zip Code 63130

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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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