COURTNEY RYDSTROM


Address: 1001 Boardwalk Springs Pl Ste 113, O Fallon, MO 63368-4777
Phone: 3143223229

COURTNEY RYDSTROM (NPI# 1851922488) 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) 1851922488
Entity Type Individual
Full Name COURTNEY RYDSTROM
Credential MA, LPC, RPT
Practice Address 1001 Boardwalk Springs Pl Ste 113
O Fallon
MO 63368-4777
Mailing Address 421 Tuxedo Blvd
Saint Louis
MO 63119-1840
Practice Telephone 3143223229
Mailing Telephone 3143223229
Enumeration Date 2020-02-02
Last Update Date 2020-02-02
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YP2500X Counselor
Specialization: Professional
2017039214 MO Behavioral Health & Social Service Providers

Office Location

Street Address 1001 BOARDWALK SPRINGS PL STE 113
City O FALLON
State MO
Zip Code 63368-4777

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1134720329 Come As You Are Counseling LLC Counselor 1001 Boardwalk Springs Place, Suite 111, O Fallon, MO 63368 2020-11-04
1770124802 Lisa N. Greer Technician 6911 Brassel Dr., Ofallon, MO 63368 2019-09-30
1770145716 Halie Faye Gulley Dentist 3009 Hwy K, O'fallon, MO 63368 2019-06-29
1972079556 Erin Corsi Fraundorf Dentist 3009 State Hwy K, O'fallon, MO 63368 2018-10-22
1427579960 Air Evac Ems, Inc. Ambulance 1001 Boardwalk Springs Pl Ste 250, O Fallon, MO 63368 2017-07-06
1528507472 Washeck Manual Therapy LLC Clinic/Center 3074 Winghaven Blvd, O'fallon, MO 63368 2017-02-13
1639618457 Brittany Hogan Physical Therapist 7412 South Outer 364, Suite B, Dardenne Prairie, MO 63368 2017-02-13
1124561469 Cardinal Home Care LLC Home Health 18 Convent Garden Ct, O'fallon, MO 63368 2016-11-18
1336509272 Sarah Marie Mudd Counselor 1654 Bryan Road, O'fallon, MO 63368 2016-03-04
1588023956 Price-bourisaw Family Chiropractic Chiropractor 2917 State Highway K, O Fallon, MO 63368 2016-02-15
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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
1629683743 Nicole Vandelinde Counselor 1805 Bowler Rd, O Fallon, IL 62269-7005 2020-09-15
1225641251 Brenda French Counselor 302 Akoya Ct, O Fallon, MO 63366-4491 2020-08-28
1619590767 Amanda Marie Dillard Counselor 981 Whitechapel Dr, O Fallon, IL 62269-7270 2020-05-23
1437610086 Audrey Gonzalez Counselor 1941 Frank Scott Pkwy E Ste C, O Fallon, IL 62269-7387 2019-03-27
1356716054 Starrynite Counseling, LLC Counselor 8 Eagle Ctr Ste 4, O Fallon, IL 62269-1963 2015-12-07
1699149161 Cristine Lou Mason Counselor 2940 Wheatfield Farms Dr, O Fallon, MO 63368-7848 2015-11-21
1205185774 Amy Christine Ilgenfritz Counselor 311 S Main St Ste 100, O Fallon, MO 63366-2807 2012-08-30
1861769184 Counseling Associates of Southern Illinois Counselor 1669 Windham Way Ste B, O Fallon, IL 62269-3072 2011-12-01
1952609729 Sharon Lynn Bass Counselor 7116 Twin Chimneys Blvd, O Fallon, MO 63368-8166 2011-03-03
1013241405 Lamette Johnstone Counselor 1137 N Main St Ste 2, O Fallon, MO 63366-1498 2009-10-01
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Competitor

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City O FALLON
Zip Code 63368

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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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