Provider Demographics
NPI:1356647077
Name:MARCHLEWSKI, VICTOR ARTHUR III (PLPC)
Entity Type:Individual
Prefix:MR
First Name:VICTOR
Middle Name:ARTHUR
Last Name:MARCHLEWSKI
Suffix:III
Gender:M
Credentials:PLPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:2850 W CLAY ST
Mailing Address - Street 2:SUITE 255
Mailing Address - City:SAINT CHARLES
Mailing Address - State:MO
Mailing Address - Zip Code:63301-2573
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:636-925-3159
Practice Address - Street 1:2850 W CLAY ST
Practice Address - Street 2:SUITE 255
Practice Address - City:SAINT CHARLES
Practice Address - State:MO
Practice Address - Zip Code:63301-2573
Practice Address - Country:US
Practice Address - Phone:636-627-7974
Practice Address - Fax:636-925-3159
Is Sole Proprietor?:No
Enumeration Date:2011-01-27
Last Update Date:2011-01-27
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MO2011001824101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional