SHANNON KELLY KOENIGSFELD PLPC
NPI 1013612241
Counselor - Mental Health in Saint Louis, MO
Active since April 05, 2023
About Shannon Kelly Koenigsfeld Plpc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SHANNON KELLY KOENIGSFELD PLPC (NPI 1013612241) is an individual mental health provider in Saint Louis, Missouri, licensed in Missouri (2023006983) and active in the NPI registry since April 2023.
NPPES Registry Identity
NPI1013612241
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameSHANNON KELLY KOENIGSFELDCredential: PLPC
Location Address2002 WYOMING STSaint Louis, MO 63118-2525
Mailing Address2002 Wyoming StSaint Louis, MO 63118-2525 · (314) 769-5283
Phone(314) 769-5283
Sole ProprietorYes
Enumeration DateApril 5, 2023
NPPES CertifiedApril 5, 2023
✔ NPI 1013612241 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in MO · 2023006983
2002 WYOMING ST, Saint Louis, MO 63118
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1013612241, enumerated as an "individual" on April 05, 2023.
The provider is located at 2002 WYOMING ST SAINT LOUIS, MO 63118 and the phone number is (314) 769-5283.
Counselor with taxonomy code 101YM0800X and a focus in Mental Health.
