Massie, Charles

Massie, Charles is an individual health care provider with primary practice located at 5000 Manchester Ave , Saint Louis MO 63110-2012. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is his primary health care specialty. Massie, Charles can be contacted via phone (618) 877-4420.

Contact Information

Primary practice address
5000 Manchester Ave Saint Louis MO 63110-2012
Phone: (618) 877-4420
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 32660 Illinois
Behavioral Health & Social Service Providers / Professional 101YP2500X 2018007090 Missouri
Behavioral Health & Social Service Providers / Professional 101YP2500X 180.011349 Illinois

Profile Details

NPI number 1013369628
LBN Legal business name Massie, Charles
Credentials LPC, LCPC
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 7th, 2016
Last updated Jul 27th, 2024 - about 2 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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