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Ebony Therapy LLC

Clinical Social Worker in Bridgeton, MO · enumerated 2020 · authorized official Clara Edwards, Official Delegate.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1679173108

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Registry record

Entity type Organization (Type 2)
Legal business name Ebony Therapy LLC
Practice address 3751 Pennridge Dr Ste 119, Bridgeton, MO, 63044
Phone (314) 791-2606
Enumeration date Oct 26, 2020
Last updated in NPPES Nov 17, 2020

Taxonomy & classification

103TC0700X Clinical Psychologist Behavioral Health & Social Service Providers Secondary
1041C0700X Clinical Social Worker Behavioral Health & Social Service Providers Primary

Authorized official

Name Clara Edwards
Title Official Delegate
Phone (314) 791-2606

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is the NPI number for Ebony Therapy LLC?
The NPI for Ebony Therapy LLC is 1679173108, a Type 2 (organization) record in the CMS NPPES registry.
Who is the authorized official for Ebony Therapy LLC?
NPPES lists Clara Edwards (Official Delegate) as the authorized official for this organization.

Providers at this address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2020-11-17.