STAURLA CHANTEL WAUN
NPI 1073871257
Counselor - Mental Health in Festus, MO
Active since April 25, 2012
About Staurla Chantel Waun NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
STAURLA CHANTEL WAUN (NPI 1073871257) is an individual mental health provider in Festus, Missouri, licensed in Colorado (NLC.0108067) and active in the NPI registry since April 2012. She maintains 2 additional practice locations.
NPPES Registry Identity
NPI1073871257
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameSTAURLA CHANTEL WAUN
Location Address10719 BUCKEYE RDFestus, MO 63028
Mailing Address510 W Pine StFarmington, MO 63640-1426 · (573) 756-2988
Phone(314) 297-0793
Sole ProprietorNo
Enumeration DateApril 25, 2012
Last NPPES UpdateApril 8, 20193 updates tracked since enumeration
✔ NPI 1073871257 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses 2
★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in CO · NLC.0108067
Also ListedBehavior AnalystTaxonomy 103K00000X
10719 BUCKEYE RD, Festus, MO 63028
Secondary Practice Locations 2
Location 1711 Barnes AveLA Junta, CO 81050-2138 · Phone (719) 383-5403 · Fax (719) 383-5493
Location 2867 Hillsboro RdFarmington, MO 63640-1611 · Phone (573) 756-2988 ext. 205
Other Providers at the Same Location NPPES 3
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1073871257, enumerated as an "individual" on April 25, 2012.
The provider is located at 10719 BUCKEYE RD FESTUS, MO 63028 and the phone number is (314) 297-0793.
Counselor with taxonomy code 101YM0800X and a focus in Mental Health.
