WALTER E. ROBERSON JR.
NPI 1144494097
Counselor - Mental Health in Saint Louis, MO
Active since April 22, 2008
About Walter E. Roberson Jr. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
WALTER E. ROBERSON JR. (NPI 1144494097) is a healthcare organization registered as a mental health in Saint Louis, Missouri and active in the NPI registry since April 2008. The organization lists Walter E. Roberson, Therapist, as its authorized official.
NPPES Registry Identity
NPI1144494097
Entity TypeOrganization
Primary Taxonomy101YM0800X
Legal Business NameWALTER E. ROBERSON JR.
Location Address4507B LACLEDE AVESaint Louis, MO 63108-2103
Mailing Address2036 Honey Ridge CtChesterfield, MO 63017-7602
Phone(314) 374-9797
Organization SubpartNo
Authorized OfficialWalter E. RobersonTherapist · (314) 374-9797
Enumeration DateApril 22, 2008
✔ NPI 1144494097 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 · 001977
4507B LACLEDE AVE, Saint Louis, MO 63108
Group Practice 1
Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP
Other Providers at the Same Location
The following 10 providers are registered at the same or a nearby location.
Counselor (Professional)
4507B LACLEDE AVE
SAINT LOUIS, MO 63108
SAINT LOUIS, MO 63108
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1144494097, enumerated as an "organization" on April 22, 2008.
The provider is located at 4507B LACLEDE AVE SAINT LOUIS, MO 63108 and the phone number is (314) 374-9797.
Counselor with taxonomy code 101YM0800X and a focus in Mental Health.
