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MMCMLLC
NPI 1477104487
Clinic/Center in Saint Louis, MO

Active since September 23, 2019
4173 CRESCENT DR STE A, SAINT LOUIS, MO 63129(314) 254-2420 Get Directions Write a Review

NPPES record last updated: September 23, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mmcmllc NPPES

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

MMCMLLC (NPI 1477104487), doing business as Mantality Health, is a healthcare organization registered as a clinic/center in Saint Louis, Missouri and active in the NPI registry since September 2019. The organization lists Sandy Hardman, Credentialing Manager, as its authorized official.

NPPES Registry Identity

NPI1477104487
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameMMCMLLC
Location Address4173 CRESCENT DR STE ASaint Louis, MO 63129-1082
Mailing Address4173 Crescent Dr Ste ASaint Louis, MO 63129-1082 · (314) 254-2420
Phone(314) 254-2420
Organization SubpartNo
Authorized OfficialSandy HardmanCredentialing Manager · (314) 254-2420
Enumeration DateSeptember 23, 2019
✔ NPI 1477104487 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
4173 CRESCENT DR STE A, Saint Louis, MO 63129
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Other Names 1

Doing Business AsMantality Health

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.Insurance ›

Other Providers at the Same Location NPPES

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

CHRISTY PALMER APN
Nurse Practitioner (Family)
4173 CRESCENT DR STE A
SAINT LOUIS, MO 63129
St. Louis County (314) 858-5604

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 Mmcmllc's NPI number?

The NPI number for Mmcmllc is 1477104487. It was assigned to this organization in the NPPES registry on September 23, 2019. The provider is doing business as Mantality Health.

Where is Mmcmllc located?

Mmcmllc is located at 4173 Crescent Dr Ste A, Saint Louis, MO 63129. The listed phone number is (314) 254-2420.

What is Mmcmllc's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

What insurance does Mmcmllc accept?

Health plans from Anthem Blue Cross and Blue Shield list Mmcmllc as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Mmcmllc was last updated on September 23, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.