Provider Demographics
NPI:1568677805
Name:COUNSELING & DEVELOPMENTAL SERVICES OF ST. LOUIS, INC.
Entity Type:Organization
Organization Name:COUNSELING & DEVELOPMENTAL SERVICES OF ST. LOUIS, INC.
Other - Org Name:AARON PSYCHOLOGY CENTERS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:BUSINESS MANAGER
Authorized Official - Prefix:MS
Authorized Official - First Name:TAMMY
Authorized Official - Middle Name:R
Authorized Official - Last Name:HURLEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:314-275-7600
Mailing Address - Street 1:PO BOX 2182
Mailing Address - Street 2:909 FEE FEE ROAD
Mailing Address - City:MARYLAND HEIGHTS
Mailing Address - State:MO
Mailing Address - Zip Code:63043-0982
Mailing Address - Country:US
Mailing Address - Phone:314-275-7600
Mailing Address - Fax:314-275-8486
Practice Address - Street 1:909 FEE FEE RD
Practice Address - Street 2:
Practice Address - City:MARYLAND HEIGHTS
Practice Address - State:MO
Practice Address - Zip Code:63043-3801
Practice Address - Country:US
Practice Address - Phone:314-275-7600
Practice Address - Fax:314-275-8486
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-11
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Not Answered101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty
Not Answered103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Multi-Specialty
Not Answered1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty
Not Answered106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Multi-Specialty