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Contact Information

DOUBLE RAINBOW COUNSELING
412 S. CLAY AVE
SUITE 201
KIRKWOOD, MO63122
 Phone: 314-822-9696
 Fax: 314-822-9696
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

1041C0700X 80 Licensed Clinical Social Worker
Indicates primary specialty

NPI Profile & details for DOUBLE RAINBOW COUNSELING

NPI Number 1164790309
LBN Legal business name DOUBLE RAINBOW COUNSELING
Authorized official PATRICK FLEMING - (CLINICAL SOCIAL WORKER/OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 12/02/2011
Last updated 12/08/2011 - About 14 years ago
Identifiers
MO License # 000173
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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