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

Miss. Mariah Lyn Logan, LPC, LCPC

Individual provider Professional Counselor · NPI 1306474549

Miss. Mariah Lyn Logan, LPC, LCPC is a Professional Counselor in Creve Coeur, Missouri. Works from 2 locations. Licensed in Illinois and Missouri.

Licensed in
IL, MO
In the registry since
2020
Specialties on file
3
What do these letters mean?
LPC — Licensed Professional Counselor
A licensed mental health counsellor.
LCPC — Licensed Clinical Professional Counselor
A licensed clinical counsellor.

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Practice location Address checks out

11500 Olive Blvd Ste 176
Creve Coeur, MO 63141-7147
Phone: (618) 972-1568
Fax: (618) 205-3561
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 19 Cedar St, Taunton, MA 02780-3301 — (508) 823-6124

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence 2023048395 (MO)
Mental Health Counselor Taxonomy 101YM0800X
Professional Counselor Taxonomy 101YP2500X · Licence 180.014691 (IL)

Record details

NPI number1306474549
Entity typeIndividual (Type 1)
GenderFemale
Credentials LPC , LCPC
Sole proprietorNo
NPI enumeratedApril 1, 2020
Last updated in NPPESMarch 15, 2024
Certification dateMarch 15, 2024

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