Jack L. Croughan Inc
Psychiatry | Addiction Medicine Clinic
1034 S Brentwood Blvd, Suite 970, Saint Louis
Missouri, 63117-1223
314-725-4004 314-725-4004
Maps & DirectionsJack L. Croughan Inc is a Psychiatry | Addiction Medicine Clinic in Saint Louis, Missouri. It is located at 1034 S Brentwood Blvd, Suite 970, Saint Louis, MO and its contact number is 314-725-4004. The authorized person for Jack L. Croughan Inc is Mr. Jack Lester Croughan
who is President of the clinic and his/her contact number is 314-725-4004. Other organizations associated with this clinic are Gateway Midwest Healthcare, Jack L. Croughan Inc, The primary license number for Jack L. Croughan Inc is R5543 (Psychiatry) in Missouri.
Jack L. Croughan Inc Clinic focuses on the evaluation, diagnosis, and treatment of people who have one or more disorders related to addictions like illegal drugs, alcohol, and prescription medication and other substances.
Complete Clinic Profile:
Jack L. Croughan Inc Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
| Name: | Jack L. Croughan Inc |
| Specialization: | Addiction Medicine |
| Clinic Address: | 1034 S Brentwood Blvd, Suite 970, Saint Louis,
Missouri, 63117-1223 |
| Phone: | 314-725-4004 |
| Fax: | 314-725-4004 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints for this clinic are as below. Person's position and contact details are also mentioned below.
| Name: | Mr. Jack Lester Croughan |
| Position: | President |
| Contact Number: | 314-725-4004 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for Jack L. Croughan Inc clinic are as mentioned below.
| NPI Number: | 1982928065 |
| NPI Enumeration Date: | 18 Mar, 2010 |
| NPI Last Update On: | 18 Mar, 2010 |
Other Associated Organizations:
Other organizations which are associated with this clinic are as mentioned below. These organization share the same address but have similar or different specialization.
Speciality of these organizations are also mentioned below.
| Name | Specialization | NPI Number |
| Gateway Midwest Healthcare | Psychiatry | 1811368244 |
| Jack L. Croughan Inc | Addiction Medicine | 1982928065 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Jack L. Croughan Inc are as mentioned below.
| Specialization | License Number | State | Status | |
| Psychiatry | R5543 | Missouri | Primary | |
| Addiction Medicine | R5543 | Missouri | Secondary | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Jack L. Croughan Inc
1034 S Brentwood Blvd, Suite 970
Saint Louis, Missouri |
| Zip: | 63117-1223 |
| Phone Number: | 314-725-4004 |
| Fax Number: | 314-725-4004 |
Patients can reach Jack L. Croughan Inc at
1034 S Brentwood Blvd, Suite 970, Saint Louis, Missouri or can
call to book an appointment on 314-725-4004.
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Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.