Provider Demographics
NPI:1972611010
Name:COUNSELING CONCEPTS
Entity Type:Organization
Organization Name:COUNSELING CONCEPTS
Other - Org Name:LIZABETH L WERNER LLC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:LIZABETH
Authorized Official - Middle Name:L
Authorized Official - Last Name:WERNER
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:636-390-4422
Mailing Address - Street 1:PO BOX 161
Mailing Address - Street 2:
Mailing Address - City:VILLA RIDGE
Mailing Address - State:MO
Mailing Address - Zip Code:63089
Mailing Address - Country:US
Mailing Address - Phone:636-390-4422
Mailing Address - Fax:636-390-4449
Practice Address - Street 1:200 W 12TH STREET
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:MO
Practice Address - Zip Code:63090
Practice Address - Country:US
Practice Address - Phone:636-390-4422
Practice Address - Fax:636-390-4449
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-28
Last Update Date:2008-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO20001727581041C0700X, 261QM0801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty
No261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)Group - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO1972611010Medicaid
MO494745615Medicaid
1720196835Medicare Oscar/Certification
MO494745615Medicaid