Miss Mariah L Logan, LPC, LCPC
Counselor, Professional in Creve Coeur, Missouri
1306474549- Practice location
- 11500 Olive Blvd Ste 176, Creve Coeur, MO 63141-7147
- Phone
- 618-972-1568
- Fax
- 618-205-3561
- Last updated
- March 15, 2024
Mariah Lyn Logan is a Counselor, Professional based in Creve Coeur, MO. Mariah Lyn Logan practices in Creve Coeur, MO and has the professional credentials of LPC, LCPC. The NPI Number for Mariah Lyn Logan is 1306474549 and holds a License No. 2023048395 (MO). The current practice location address for Mariah Lyn Logan is 11500 Olive Blvd Ste 176, Creve Coeur, MO 63141-7147 and can be reached out via phone at 618-972-1568 and via fax at 618-205-3561.
Provider Profile Details
- NPI Number
- 1306474549
- Provider Name
- Mariah Lyn Logan
- Credential
- LPC, LCPC
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 11500 Olive Blvd Ste 176, Creve Coeur, MO 63141-7147
- Phone Number
- 618-972-1568
- Fax Number
- 618-205-3561
- Primary Taxonomy
- Counselor, Professional · 101YP2500X
- Sole Proprietor
- No
- Provider Enumeration Date
- April 1, 2020
- Last Update Date
- March 15, 2024
- Certification Date
- March 15, 2024
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 11500 Olive Blvd Ste 176
Creve Coeur, MO 63141-7147 - City
- Creve Coeur
- State
- Missouri
- Zip
- 63141-7147
- Phone Number
- 618-972-1568
- Fax Number
- 618-205-3561
Provider Business Mailing Address Details
- Address
- 207 Glen Meadow RD
Franklin, MA 02038-1341 - City
- Franklin
- State
- MA
- Zip
- 02038-1341
- Phone Number
- 314-541-4618
License Information
- License Number (1)
- 2023048395
- License State (1)
- MO
- Taxonomy (1)
- Counselor, Professional · 101YP2500X · Primary
- Taxonomy (2)
- Counselor, Mental Health · 101YM0800X
- License Number (3)
- 180.014691
- License State (3)
- IL
- Taxonomy (3)
- Counselor, Professional · 101YP2500X
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Counselor, Professional providers near Creve Coeur, MO
View all Counselor, Professional providers in Creve Coeur →Frequently Asked Questions
What is the NPI number of Miss Mariah L Logan, LPC, LCPC?
The NPI number of Miss Mariah L Logan, LPC, LCPC is 1306474549. It was assigned on April 1, 2020 and is currently active in the NPPES registry.
What is the specialty of Miss Mariah L Logan, LPC, LCPC?
Miss Mariah L Logan, LPC, LCPC is registered under the primary taxonomy Counselor, Professional (code 101YP2500X), licensed in MO under license number 2023048395.
Where does Miss Mariah L Logan, LPC, LCPC practice?
The practice location is 11500 Olive Blvd Ste 176, Creve Coeur, MO 63141-7147. The office can be reached at 618-972-1568 (phone) or 618-205-3561 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1306474549 directly on the NPPES registry website.