Brinkman & Gardiner LLC
Clinic/Center, Adult Mental Health in Creve Coeur, MO. Organization (NPI-2).
NPI number1679168132
StatusActive
Last updated in NPPESMar 6, 2021
Details
- NPI
- 1679168132
- Entity type
- Organization (NPI-2)
- Legal business name
- Brinkman & Gardiner LLC
- Organization subpart
- No
- Enumeration date
- Mar 6, 2021
- Certification date
- Mar 6, 2021
- Last updated
- Mar 6, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QM0850X | Clinic/Center, Adult Mental Health | – | – | Yes |
| 261QM0855X | Clinic/Center, Adolescent and Children Mental Health | – | – |
Other names
- Optimal Consulting And Coaching (Doing Business As)
Practice location
677 Craig Rd Ste 216Creve Coeur, MO 63141-7125
Phone 314-276-2387
Mailing address
13717 Amiot DrSaint Louis, MO 63146-3609
Phone 314-276-2387
Authorized official
Jean Marie Gardiner
Owner/Lead Counselor And Consultant
3142762387
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