Provider Demographics
NPI:1457098816
Name:VAN LUVEN MCKNIGHT PSYCHOLOGICAL ASSOCIATES
Entity Type:Organization
Organization Name:VAN LUVEN MCKNIGHT PSYCHOLOGICAL ASSOCIATES
Other - Org Name:WEST COUNTY BEHAVIORAL HEALTH
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:JENNIFER
Authorized Official - Middle Name:WEBBE
Authorized Official - Last Name:VAN LUVEN
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:314-537-6242
Mailing Address - Street 1:955 EXECUTIVE PARKWAY DR STE 100
Mailing Address - Street 2:
Mailing Address - City:CREVE COEUR
Mailing Address - State:MO
Mailing Address - Zip Code:63141-6356
Mailing Address - Country:US
Mailing Address - Phone:314-537-6242
Mailing Address - Fax:
Practice Address - Street 1:955 EXECUTIVE PARKWAY DR STE 100955
Practice Address - Street 2:
Practice Address - City:CREVE COEUR
Practice Address - State:MO
Practice Address - Zip Code:63141-6363
Practice Address - Country:US
Practice Address - Phone:314-537-6242
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-05-17
Last Update Date:2022-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes104100000XBehavioral Health & Social Service ProvidersSocial WorkerGroup - Multi-Specialty