Provider Demographics
NPI:1790660066
Name:NURTARI LLC
Entity type:Organization
Organization Name:NURTARI LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FOUNDER
Authorized Official - Prefix:
Authorized Official - First Name:REBECCA
Authorized Official - Middle Name:
Authorized Official - Last Name:BAKER
Authorized Official - Suffix:
Authorized Official - Credentials:LPC-S, LPCC
Authorized Official - Phone:314-279-9751
Mailing Address - Street 1:3636 S GEYER RD STE 159
Mailing Address - Street 2:
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63127-1251
Mailing Address - Country:US
Mailing Address - Phone:314-279-9751
Mailing Address - Fax:
Practice Address - Street 1:3636 S GEYER RD STE 159
Practice Address - Street 2:
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63127-1251
Practice Address - Country:US
Practice Address - Phone:314-279-9751
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-08-07
Last Update Date:2025-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)