Brady Sullivan Consulting, LLC
Clinic/Center, Adult Mental Health in Saint Louis, MO. Organization (NPI-2).
NPI number1003551995
StatusActive
Last updated in NPPESMay 4, 2022
Details
- NPI
- 1003551995
- Entity type
- Organization (NPI-2)
- Legal business name
- Brady Sullivan Consulting, LLC
- Organization subpart
- No
- Enumeration date
- May 4, 2022
- Certification date
- May 4, 2022
- Last updated
- May 4, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QM0850X | Clinic/Center, Adult Mental Health | – | – | Yes |
Other names
- Plumeria Stl, Counseling And Consulting Services (Doing Business As)
Practice location
3115 S Grand Blvd Ste 300Saint Louis, MO 63118-1046
Phone 314-339-7356
Mailing address
4325 Loughborough AveSaint Louis, MO 63116-2103
Phone 630-885-8663
Authorized official
Brady Sullivan
Founder
3143397356
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