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MARY LOU BOURQUE LPC
NPI 1750380515
Counselor - Mental Health in Saint Louis, MO

Active since July 14, 2005
763 S NEW BALLAS RD, SUITE 110, SAINT LOUIS, MO 63141(314) 569-1717(314) 569-0441 Get Directions Write a Review

NPPES record last updated: July 12, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mary Lou Bourque Lpc NPPES

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

MARY LOU BOURQUE LPC (NPI 1750380515) is an individual mental health provider in Saint Louis, Missouri, licensed in Missouri (000493) and active in the NPI registry since July 2005.

NPPES Registry Identity

NPI1750380515
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameMARY LOU BOURQUECredential: LPC
Location Address763 S NEW BALLAS RD, SUITE 110Saint Louis, MO 63141-8704
Mailing Address5000 Cedar Plaza Parkway, Ste 350Saint Louis, MO 63128-3441 · (314) 843-4333 · Fax (314) 843-4856
Phone(314) 569-1717
Fax(314) 569-0441
Sole ProprietorNo
Enumeration DateJuly 14, 2005
Last NPPES UpdateJuly 12, 2007
✔ NPI 1750380515 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 · 000493
763 S NEW BALLAS RD, Saint Louis, MO 63141
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Other Providers at the Same Location NPPES 20

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

MR. ERIC SCOTT BAILE M.DIV., MAC
Counselor (Mental Health)
763 S NEW BALLAS RD, SUITE 340
SAINT LOUIS, MO 63141
St. Louis County (314) 872-2972
MONICA GRADY M.A.
Psychologist
763 S NEW BALLAS RD, SUITE 110
SAINT LOUIS, MO 63141
St. Louis County (314) 569-1717
MRS. ROSE GROSSIUS
Nurse Practitioner
763 S NEW BALLAS RD, SUITE 350
SAINT LOUIS, MO 63141
St. Louis County (314) 432-5144
ORTHOMOTION L.L.C.
Durable Medical Equipment & Medical Supplies (Customized Equipment)
763 S NEW BALLAS RD, SUITE 370
SAINT LOUIS, MO 63141
St. Louis County (314) 994-7400
DR. JAGDISH SURI M.D.
Psychiatry & Neurology (Psychiatry)
763 S NEW BALLAS RD, SUITE 110
SAINT LOUIS, MO 63141
St. Louis County (314) 569-1717
DR. SCOTT HAINZ DC
Chiropractor
763 S NEW BALLAS RD, SUITE 230
CREVE COEUR, MO 63141
St. Louis County (314) 681-2800
MR. DOUGLAS J SAMSEL M.A., L.P.C.
Counselor (Professional)
763 S NEW BALLAS RD, SUITE 340
SAINT LOUIS, MO 63141
St. Louis County (314) 872-2972
ELIZABETH NICHOLE LEHMAN PTA
Physical Therapy Assistant
763 S NEW BALLAS RD, 200
SAINT LOUIS, MO 63141
St. Louis County (314) 991-2562

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 Mary Lou Bourque's NPI number?

The NPI number for Mary Lou Bourque is 1750380515. It was assigned to this individual provider in the NPPES registry on July 14, 2005.

Where is Mary Lou Bourque located?

Mary Lou Bourque practices at 763 S New Ballas Rd Suite 110, Saint Louis, MO 63141. The listed phone number is (314) 569-1717.

What is Mary Lou Bourque's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Mary Lou Bourque was last updated on July 12, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.