Basic Information
| Provider Information | |||||||||
| NPI: | 1033847868 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | D KRANKEL COUNSELING SERVICES LLC | ||||||||
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| Mailing Information | |||||||||
| Address1: | PO BOX 37044 | ||||||||
| Address2: | |||||||||
| City: | SAINT LOUIS | ||||||||
| State: | MO | ||||||||
| PostalCode: | 631411544 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6189793877 | ||||||||
| FaxNumber: | 6363334510 | ||||||||
| Practice Location | |||||||||
| Address1: | 655 CRAIG RD STE 310 | ||||||||
| Address2: | |||||||||
| City: | SAINT LOUIS | ||||||||
| State: | MO | ||||||||
| PostalCode: | 631417171 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6189793877 | ||||||||
| FaxNumber: | 6363334510 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 08/10/2022 | ||||||||
| LastUpdateDate: | 08/10/2022 | ||||||||
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| AuthorizedOfficialLastName: | KRANKEL | ||||||||
| AuthorizedOfficialFirstName: | DEANNA | ||||||||
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| AuthorizedOfficialTitleorPosition: | OWNER/LCSW | ||||||||
| AuthorizedOfficialTelephone: | 6189793877 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialCredential: | LCSW | ||||||||
| NPICertificationDate: | 08/10/2022 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 1041C0700X | Y | 193400000X SINGLE SPECIALTY GROUP | Behavioral Health & Social Service Providers | Social Worker | Clinical |
No ID Information.