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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: July 19, 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


The following 20 providers are registered at the same or a nearby location.

NEAL ASKUVICH LCSW
Social Worker (Clinical)
763 S NEW BALLAS RD, SUITE 110
SAINT LOUIS, MO 63141
St. Louis County (314) 569-1717
KIM DRESSEL LCSW
Social Worker (Clinical)
763 S NEW BALLAS RD, SUITE 110
SAINT LOUIS, MO 63141
St. Louis County (314) 569-1717
JO ANN SHEW RN
Clinical Nurse Specialist (Psychiatric/Mental Health, Adult)
763 S NEW BALLAS RD, SUITE 110
SAINT LOUIS, MO 63141
St. Louis County (314) 569-1717
BRUCE TOULMIN LCSW
Social Worker (Clinical)
763 S NEW BALLAS RD, SUITE 110
SAINT LOUIS, MO 63141
St. Louis County (314) 569-1717
MONICA GRADY M.A.
Psychologist
763 S NEW BALLAS RD, SUITE 110
SAINT LOUIS, MO 63141
St. Louis County (314) 569-1717
DR. DAVID C BRUNTS PH.D.
Psychologist (Clinical)
763 S NEW BALLAS RD, SUITE 320
SAINT LOUIS, MO 63141
St. Louis County (314) 432-0100
DR. SCOTT HAINZ DC
Chiropractor
763 S NEW BALLAS RD, SUITE 230
CREVE COEUR, MO 63141
St. Louis County (314) 681-2800
DR. DEAN LAWRENCE ROSEN PSY.D.
Psychologist (Clinical)
763 S NEW BALLAS RD, SUITE 202
SAINT LOUIS, MO 63141
St. Louis County (314) 872-0288
EVERSON ORTHOPEDIC, PC
Physical Therapist
763 S NEW BALLAS RD, #200
SAINT LOUIS, MO 63141
St. Louis County (314) 991-2562
DR. ELIZABETH F. GRODSKY PH.D.
Psychologist (Clinical)
763 S NEW BALLAS RD, SUITE 202
SAINT LOUIS, MO 63141
St. Louis County (314) 991-2001
MRS. HILLARY A. HAARMANN MSW, LCSW
Social Worker (Clinical)
763 S NEW BALLAS RD, STE. 110
SAINT LOUIS, MO 63141
St. Louis County (314) 569-1717
MRS. ASHLEY LARE WATSON LPC
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
SHAWN K EVERSON MHS, PT, OCS, MTC
Physical Therapist
763 S NEW BALLAS RD, 200
SAINT LOUIS, MO 63141
St. Louis County (314) 991-2562
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
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
MIDWEST CONSULTING AND IME
Clinic/Center
763 S NEW BALLAS RD, SUITE 230
CREVE COEUR, MO 63141
St. Louis County (314) 681-2800
JOINT VENTURE REHABILITATION
Clinic/Center (Physical Therapy)
763 S NEW BALLAS RD, 200
SAINT LOUIS, MO 63141
St. Louis County (314) 991-2562
AMELIA LYNN PEREZ
Physical Therapy Assistant
763 S NEW BALLAS RD, SUITE 200
SAINT LOUIS, MO 63141
St. Louis County (314) 991-2562
ST. LOUIS LASER LLC
Chiropractor
763 S NEW BALLAS RD, SUITE 230
CREVE COEUR, MO 63141
St. Louis County (314) 681-2800

Frequently Asked Questions

What is Mary Lou Bourque's NPI number?

The NPI number assigned to this healthcare provider is 1750380515, enumerated as an "individual" on July 14, 2005.

Where is the provider located?

The provider is located at 763 S NEW BALLAS RD SUITE 110 SAINT LOUIS, MO 63141 and the phone number is (314) 569-1717.

What is the provider's specialty?

Counselor with taxonomy code 101YM0800X and a focus in Mental Health.