Provider Demographics
NPI:1386410413
Name:KRM THERAPEUTIC ASSOCIATES LLC
Entity type:Organization
Organization Name:KRM THERAPEUTIC ASSOCIATES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:THERAPEUTIC
Authorized Official - Prefix:MS
Authorized Official - First Name:KAREN
Authorized Official - Middle Name:R
Authorized Official - Last Name:MOIST
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:314-399-9576
Mailing Address - Street 1:8147 DELMAR BLVD STE 220
Mailing Address - Street 2:
Mailing Address - City:UNIVERSITY CITY
Mailing Address - State:MO
Mailing Address - Zip Code:63130-3735
Mailing Address - Country:US
Mailing Address - Phone:314-399-9576
Mailing Address - Fax:314-261-0386
Practice Address - Street 1:8147 DELMAR BLVD STE 220
Practice Address - Street 2:
Practice Address - City:UNIVERSITY CITY
Practice Address - State:MO
Practice Address - Zip Code:63130-3735
Practice Address - Country:US
Practice Address - Phone:314-399-9576
Practice Address - Fax:314-261-0386
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-11-29
Last Update Date:2023-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty