1699147231 NPI number — RESOLUTIONS FOR PEOPLE, LLC

Table of content: MS. SUSAN T. VOGEL RRT (NPI 1053521054)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1699147231 NPI number — RESOLUTIONS FOR PEOPLE, LLC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
RESOLUTIONS FOR PEOPLE, LLC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1699147231
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
10/22/2015
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1 MID RIVERS MALL DR
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
SAINT PETERS
Provider Business Mailing Address State Name:
MO
Provider Business Mailing Address Postal Code:
63376-4320
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
636-387-6096
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1 MID RIVERS MALL DR STE 280
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
SAINT PETERS
Provider Business Practice Location Address State Name:
MO
Provider Business Practice Location Address Postal Code:
63376-4368
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
636-387-6096
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
10/22/2015

Additional Information

Authorized Official

Authorized Official Last Name:
BROWN
Authorized Official First Name:
SHERONDA
Authorized Official Middle Name:
RAMONA
Authorized Official Title or Position:
EXECUTIVE DIRECTOR
Authorized Official Telephone Number:
636-387-6096

Provider Taxonomy Codes

  • Taxonomy code: 253Z00000X , with the licence number:  22354557 , registered in the state of MO ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 1013215128 , issued by the state of ( MO ) . This identifiers is of the category "MEDICAID".
  • Identifier: 1821476474 , issued by the state of ( MO ) . This identifiers is of the category "MEDICAID".




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