Provider Demographics
NPI:1679832810
Name:REMI, KRISTA KAY (LPC)
Entity Type:Individual
Prefix:
First Name:KRISTA
Middle Name:KAY
Last Name:REMI
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9666 OLIVE BLVD STE 330
Mailing Address - Street 2:
Mailing Address - City:OLIVETTE
Mailing Address - State:MO
Mailing Address - Zip Code:63132-3035
Mailing Address - Country:US
Mailing Address - Phone:314-275-0810
Mailing Address - Fax:314-991-0100
Practice Address - Street 1:9666 OLIVE BLVD STE 330
Practice Address - Street 2:
Practice Address - City:OLIVETTE
Practice Address - State:MO
Practice Address - Zip Code:63132-3035
Practice Address - Country:US
Practice Address - Phone:314-275-0810
Practice Address - Fax:314-991-0100
Is Sole Proprietor?:Yes
Enumeration Date:2012-05-09
Last Update Date:2021-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2011039353101YP2500X, 101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional