NPI: 1427673367 · CLAYTON, MO 63105 · Mental Health Clinic/Center (Including Community Mental Health Center) · NPI assigned 06/16/2020
| Authorized Official | JACKSON, KEZIA (OWNER) |
| NPI Enumeration Date | 06/16/2020 |
| Year | Claims | Total Paid |
|---|---|---|
| 2024 | 195 | $14K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 90834 | Psychotherapy, 45 minutes with patient | 195 | 65 | $14K |