Provider Demographics
NPI:1326340993
Name:PREFERRED RESOURCE NETWORK
Entity Type:Organization
Organization Name:PREFERRED RESOURCE NETWORK
Other - Org Name:PERSONAL ASSISTANCE SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CLIENT SERVICES
Authorized Official - Prefix:MRS
Authorized Official - First Name:BRITTANY
Authorized Official - Middle Name:LOREN HOBERG
Authorized Official - Last Name:BAGY
Authorized Official - Suffix:
Authorized Official - Credentials:PLPC
Authorized Official - Phone:314-239-7168
Mailing Address - Street 1:6083 HARTFORD ST
Mailing Address - Street 2:
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63139-2305
Mailing Address - Country:US
Mailing Address - Phone:314-239-7168
Mailing Address - Fax:
Practice Address - Street 1:9735 LANDMARK PARKWAY DR
Practice Address - Street 2:
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63127-1646
Practice Address - Country:US
Practice Address - Phone:800-356-0845
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-12-02
Last Update Date:2010-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2009007181101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty