Inner West Psychiatry And Wellness Center LLC
Clinic/Center, Mental Health (Including Community Mental Health Center) in Creve Coeur, MO. Organization (NPI-2).
NPI number1326919028
StatusActive
Last updated in NPPESSep 16, 2025
Details
- NPI
- 1326919028
- Entity type
- Organization (NPI-2)
- Legal business name
- Inner West Psychiatry And Wellness Center LLC
- Organization subpart
- No
- Enumeration date
- Sep 16, 2025
- Certification date
- Sep 16, 2025
- Last updated
- Sep 16, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QM0801X | Clinic/Center, Mental Health (Including Community Mental Health Center) | – | – | Yes |
| 261Q00000X | Clinic/Center | – | – |
Other names
- Inner West Psychiatry (Doing Business As)
Practice location
677 Craig Rd Ste 203Creve Coeur, MO 63141-7125
Phone 314-220-8685
Mailing address
677 Craig Rd Ste 203Creve Coeur, MO 63141-7125
Phone 314-220-8685
Authorized official
Regina Jasmine Bauer
Pmhnp
3143275425
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