Provider Demographics
NPI:1558536391
Name:ASSESSMENT & COUNSELING SOLUTIONS
Entity Type:Organization
Organization Name:ASSESSMENT & COUNSELING SOLUTIONS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:JANE
Authorized Official - Middle Name:ELLEN
Authorized Official - Last Name:WEST
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:314-849-2800
Mailing Address - Street 1:11648 GRAVOIS RD
Mailing Address - Street 2:SUITE 245
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63126-3034
Mailing Address - Country:US
Mailing Address - Phone:314-849-2800
Mailing Address - Fax:314-849-2852
Practice Address - Street 1:11648 GRAVOIS
Practice Address - Street 2:SUITE 245
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63126-3034
Practice Address - Country:US
Practice Address - Phone:314-849-2800
Practice Address - Fax:314-849-2852
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-04-23
Last Update Date:2012-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO5880-10064101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO226083949OtherUNITED BEHAVIORAL HEALTH