Provider Demographics
NPI:1487451316
Name:WHEELER, CAROL MARIE (MA, MS, PLPC)
Entity type:Individual
Prefix:
First Name:CAROL
Middle Name:MARIE
Last Name:WHEELER
Suffix:
Gender:F
Credentials:MA, MS, PLPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3 LOCKHAVEN CT
Mailing Address - Street 2:
Mailing Address - City:LAKE ST LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63367-2400
Mailing Address - Country:US
Mailing Address - Phone:636-214-5814
Mailing Address - Fax:
Practice Address - Street 1:2200 CASTLEGATE DR
Practice Address - Street 2:
Practice Address - City:IMPERIAL
Practice Address - State:MO
Practice Address - Zip Code:63052-3821
Practice Address - Country:US
Practice Address - Phone:216-551-8214
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-02-27
Last Update Date:2025-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health