Imynd Connects, LLC
NPI #1104446194 in Creve Coeur, Missouri
Provider Information
- NPI Number
- 1104446194
- Entity Type
- Organization
- Organization Name
- Imynd Connects, LLC
- Primary Specialty
- Social Worker - Clinical
- Enumeration Date
- Apr 20, 2020
- Last Updated
- May 11, 2020
Practice Location
- Address
- 745 CRAIG RD STE 104
- City
- Creve Coeur
- State
- Missouri
- ZIP Code
- 63141-7122
- Phone
- (314) 606-1265
Authorized Official
- Name
- SUSAN ELIZABETH STEVENSON MOORE, MSW, LCSW
- Title
- OWNER
- Phone
- (314) 606-1265
Specialties & Taxonomy Codes
| Specialty |
|---|
| Psychologist - Clinical — Clinical |
| Social Worker - Clinical — Clinical |
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