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

Progression Healthcare Mo, LLC

Organization Substance Abuse Rehabilitation Facility · NPI 1033712690

Progression Healthcare Mo, LLC is a Substance Abuse Rehabilitation Facility in Saint Louis, Missouri. Registered with an NPI since 2020.

In the registry since
2020
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

4960 Laclede Ave
Saint Louis, MO 63108-1404
Phone: (314) 361-6240
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Substance Abuse Rehabilitation Facility (primary) Taxonomy 324500000X

Record details

NPI number1033712690
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jesseca Wallace — Ceo · (440) 384-8934
NPI enumeratedNovember 17, 2020
Last updated in NPPESNovember 17, 2020
Certification dateNovember 17, 2020
Mailing address4960 Laclede Ave, Saint Louis, MO 63108-1404

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