Provider Demographics
NPI:1497550974
Name:KARIS HOUSE COMMUNITY COUNSELING NETOWRK
Entity type:Organization
Organization Name:KARIS HOUSE COMMUNITY COUNSELING NETOWRK
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:AMY
Authorized Official - Middle Name:
Authorized Official - Last Name:MATTIA
Authorized Official - Suffix:
Authorized Official - Credentials:MA LPC
Authorized Official - Phone:314-266-6148
Mailing Address - Street 1:625 MERAMEC STATION RD
Mailing Address - Street 2:
Mailing Address - City:MANCHESTER
Mailing Address - State:MO
Mailing Address - Zip Code:63021-5550
Mailing Address - Country:US
Mailing Address - Phone:314-266-6148
Mailing Address - Fax:
Practice Address - Street 1:625 MERAMEC STATION RD
Practice Address - Street 2:
Practice Address - City:MANCHESTER
Practice Address - State:MO
Practice Address - Zip Code:63021-5550
Practice Address - Country:US
Practice Address - Phone:314-266-6148
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-02-18
Last Update Date:2025-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty
No251S00000XAgenciesCommunity/Behavioral Health
No261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)