1831699883 NPI number — SAITO COUNSELING, LLC

Table of content: (NPI 1831699883)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1831699883 NPI number — SAITO COUNSELING, LLC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
SAITO COUNSELING, 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:
1831699883
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
02/16/2018
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
5580 BARONRIDGE DR APT 7
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
SAINT LOUIS
Provider Business Mailing Address State Name:
MO
Provider Business Mailing Address Postal Code:
63129-3032
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
314-954-5915
Provider Business Mailing Address Fax Number:
314-222-0514

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1671 MARRIOTT LN
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
BARNHART
Provider Business Practice Location Address State Name:
MO
Provider Business Practice Location Address Postal Code:
63012-1447
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
314-529-1925
Provider Business Practice Location Address Fax Number:
314-222-0514
Provider Enumeration Date:
02/16/2018

Additional Information

Authorized Official

Authorized Official Last Name:
SAITO
Authorized Official First Name:
MELANI
Authorized Official Middle Name:
M
Authorized Official Title or Position:
THERAPIST/OWNER
Authorized Official Telephone Number:
314-529-1925

Provider Taxonomy Codes

  • Taxonomy code: 101YP2500X , with the licence number:  2010033342 , 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: 1386065860 , issued by the state of ( MO ) . This identifiers is of the category "MEDICAID".




Copyright © 2007-2025 www.npivalidator.com