Gormley, Leo

Gormley, Leo is an individual health care provider with primary practice located at 6763 Page Ave # Mo , Saint Louis MO 63133-1635. He recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as his primary health care specialty. Gormley, Leo can be contacted via phone (314) 206-3910.

Contact Information

Primary practice address
6763 Page Ave # Mo Saint Louis MO 63133-1635
Phone: (314) 206-3910
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 11787 Missouri

Profile Details

NPI number 1811392798
LBN Legal business name Gormley, Leo
Credentials CRADC
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 4th, 2014
Last updated Mar 22nd, 2022 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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