Provider Demographics
NPI:1518606839
Name:SHARPER VISION COUNSELING SERVICES
Entity Type:Organization
Organization Name:SHARPER VISION COUNSELING SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/THERAPIST
Authorized Official - Prefix:MS
Authorized Official - First Name:TRACIE
Authorized Official - Middle Name:G
Authorized Official - Last Name:PARNELL
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:314-252-8216
Mailing Address - Street 1:9648 OLIVE BLVD STE 438
Mailing Address - Street 2:
Mailing Address - City:OLIVETTE
Mailing Address - State:MO
Mailing Address - Zip Code:63132-3002
Mailing Address - Country:US
Mailing Address - Phone:314-252-8216
Mailing Address - Fax:844-519-7811
Practice Address - Street 1:10830 SAINT CHARLES ROCK RD
Practice Address - Street 2:
Practice Address - City:SAINT ANN
Practice Address - State:MO
Practice Address - Zip Code:63074-1508
Practice Address - Country:US
Practice Address - Phone:314-252-8216
Practice Address - Fax:844-519-7811
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-06-03
Last Update Date:2022-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty