Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Ebony Therapy LLC

Organization Clinical Psychologist · NPI 1679173108

Ebony Therapy LLC is a Clinical Psychologist in Bridgeton, Missouri. Registered with an NPI since 2020.

In the registry since
2020
Specialties on file
2
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

3751 Pennridge Dr Ste 119
Bridgeton, MO 63044-1244
Phone: (314) 791-2606
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X
Clinical Psychologist Taxonomy 103TC0700X

Record details

NPI number1679173108
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Clara Edwards — Official Delegate · (314) 791-2606
NPI enumeratedOctober 26, 2020
Last updated in NPPESNovember 17, 2020
Certification dateNovember 17, 2020
Mailing address3751 Pennridge Dr Ste 119, Bridgeton, MO 63044-1244

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