Provider Demographics
NPI:1073144317
Name:ST. LOUIS STRESS CLINIC LLC
Entity Type:Organization
Organization Name:ST. LOUIS STRESS CLINIC LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER, THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:ANN
Authorized Official - Middle Name:CHRISTINE
Authorized Official - Last Name:FILONOW
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:315-528-2011
Mailing Address - Street 1:677 N NEW BALLAS RD STE 206
Mailing Address - Street 2:
Mailing Address - City:CREVE COEUR
Mailing Address - State:MO
Mailing Address - Zip Code:63141-6732
Mailing Address - Country:US
Mailing Address - Phone:314-528-2011
Mailing Address - Fax:
Practice Address - Street 1:677 N NEW BALLAS RD STE 206
Practice Address - Street 2:
Practice Address - City:CREVE COEUR
Practice Address - State:MO
Practice Address - Zip Code:63141-6732
Practice Address - Country:US
Practice Address - Phone:314-528-2011
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-01-27
Last Update Date:2020-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty