1922457621 NPI number — COTTON BABIES, INC.

Table of content: MS. TERRI L. KERN LPCC (NPI 1790228617)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1922457621 NPI number — COTTON BABIES, INC.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
COTTON BABIES, INC.
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:
1922457621
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
08/08/2016
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1299 N HIGHWAY DR
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
FENTON
Provider Business Mailing Address State Name:
MO
Provider Business Mailing Address Postal Code:
63026-1909
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
888-332-2243
Provider Business Mailing Address Fax Number:
314-248-2261

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1200 TOWN AND COUNTRY CROSSING DR
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
TOWN AND COUNTRY
Provider Business Practice Location Address State Name:
MO
Provider Business Practice Location Address Postal Code:
63017-0605
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
636-220-7720
Provider Business Practice Location Address Fax Number:
314-248-2261
Provider Enumeration Date:
06/03/2016

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
LABIT
Authorized Official First Name:
JENNIFER
Authorized Official Middle Name:
Authorized Official Title or Position:
CEO
Authorized Official Telephone Number:
888-332-2243

Provider Taxonomy Codes

  • Taxonomy code: 335E00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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