Mmcmllc

Clinic/Center · Saint Louis, MO

Organization Active NPI

NPI number 1477104487

Practice location

4173 Crescent Dr Ste a
Saint Louis, MO 63129-1082
Phone
(314) 254-2420

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NPI record

NPI
1477104487
Entity type
Organization (Type 2)
Enumeration date
September 23, 2019
Last updated
September 23, 2019
Organization subpart
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Clinic/Center Primary 261Q00000X — —

Authorized official

Name
Sandy Hardman
Title
Credentialing Manager
Phone
(314) 254-2420

Other names

  • Mantality Health

About Mmcmllc

Mmcmllc is a healthcare organization registered in the NPI registry with the primary taxonomy Clinic/Center (code 261Q00000X). The practice location is 4173 Crescent Dr Ste a, Saint Louis, MO 63129-1082. The NPI number 1477104487 was assigned on September 23, 2019 and the record was last updated on September 23, 2019.

The authorized official for this organization is Sandy Hardman, Credentialing Manager.

Frequently asked questions

What is the NPI number of Mmcmllc?

The NPI number is 1477104487.

What is the phone number of Mmcmllc?

The phone number listed for the practice location is (314) 254-2420.

Where is Mmcmllc located?

4173 Crescent Dr Ste a, Saint Louis, MO 63129-1082.

What is the taxonomy code for Mmcmllc?

The primary taxonomy code is 261Q00000X – Clinic/Center.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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