1. Home
  2. Directory
  3. Missouri
  4. Saint Louis
  5. Clinic Center
  6. NPI Profile

PASSPORT HEALTH
NPI 1205255247
Clinic/Center - Health Service in Saint Louis, MO

Active since April 07, 2014
2025 S BRENTWOOD BLVD, SUITE 101, SAINT LOUIS, MO 63144(314) 997-8100(314) 997-8102 Get Directions Write a Review

NPPES record last updated: October 2, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Passport Health NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PASSPORT HEALTH (NPI 1205255247) is a healthcare organization registered as a health service in Saint Louis, Missouri and active in the NPI registry since April 2014. The organization lists Ltanya Garrison, President, as its authorized official.

NPPES Registry Identity

NPI1205255247
Entity TypeOrganization
Primary Taxonomy261QH0100X
Legal Business NamePASSPORT HEALTH
Location Address2025 S BRENTWOOD BLVD, SUITE 101Saint Louis, MO 63144-1833
Mailing Address2025 S Brentwood Blvd, Suite 101Saint Louis, MO 63144-1833 · (314) 997-8100 · Fax (314) 997-8102
Phone(314) 997-8100
Fax(314) 997-8102
Organization SubpartNo
Authorized OfficialLtanya GarrisonPresident · (314) 997-8100
Enumeration DateApril 7, 2014
Last NPPES UpdateOctober 2, 2014
✔ NPI 1205255247 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Health ServiceAmbulatory Health Care Facilities
Taxonomy Code261QH0100X
2025 S BRENTWOOD BLVD, Saint Louis, MO 63144
Open in Google Maps ↗

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MR. RICHARD CHARLES YOUNG LCSW
Social Worker (Clinical)
2025 S BRENTWOOD BLVD
SAINT LOUIS, MO 63144
St. Louis County (314) 550-2251
MS. KAREN S WETMORE MSW LCSW
Social Worker (Clinical)
2025 S BRENTWOOD BLVD, SUITE 206
ST LOUIS, MO 63144
St. Louis County (314) 963-8900
MRS. KELLIE CHRISTINE CAPOTORTO LPC
Counselor (Professional)
2025 S BRENTWOOD BLVD
SAINT LOUIS, MO 63144
St. Louis County (314) 706-1526
MELISSA BOZESKY
Counselor (Professional)
2025 S BRENTWOOD BLVD, 200
SAINT LOUIS, MO 63144
St. Louis County (314) 963-8900
LEARNING CONSULTANTS, INC.
Local Education Agency (LEA)
2025 S BRENTWOOD BLVD, SUITE 206
SAINT LOUIS, MO 63144
St. Louis County (314) 963-8900
MS. ELIZABETH MULLANPHY JUDD CPNP, PMHS
Clinical Nurse Specialist (Psychiatric/Mental Health, Child & Family)
2025 S BRENTWOOD BLVD
SAINT LOUIS, MO 63144
St. Louis County (314) 200-5778
CAROL RIEGLER BOSHART LCSW
Social Worker (Clinical)
2025 S BRENTWOOD BLVD, SUITE 200
BRENTWOOD, MO 63144
St. Louis County (314) 963-8900

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Passport Health's NPI number?

The NPI number for Passport Health is 1205255247. It was assigned to this organization in the NPPES registry on April 7, 2014.

Where is Passport Health located?

Passport Health is located at 2025 S Brentwood Blvd Suite 101, Saint Louis, MO 63144. The listed phone number is (314) 997-8100.

What is Passport Health's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Health Service, with taxonomy code 261QH0100X.

When was this NPI record last updated?

The NPPES record for Passport Health was last updated on October 2, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.