| Amy Jane Devore, LPC | |
|
217 Bracadale Ave, Valley Park, MO 63088-1536 | |
| (314) 482-3339 | |
| Not Available |
| Full Name | Amy Jane Devore |
|---|---|
| Gender | Female |
| Speciality | Counselor - Professional |
| Location | 217 Bracadale Ave, Valley Park, Missouri |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215540844 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 200603292012 (Missouri) | Primary |
| Entity Name | Doctor On Demand Professionals P C |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1174931448 PECOS PAC ID: 9436464567 Enrollment ID: O20240628002262 |
| Mailing Address | Practice Location Address |
|---|---|
| Amy Jane Devore, LPC 217 Bracadale Ave, Valley Park, MO 63088-1536 Ph: (314) 482-3339 | Amy Jane Devore, LPC 217 Bracadale Ave, Valley Park, MO 63088-1536 Ph: (314) 482-3339 |
Mr. Michael Richard Niehaus, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 232 Vance Rd, Suite 206, Valley Park, MO 63088 Phone: 636-225-3700 Fax: 636-225-3709 | |
Amanda Lea Carr, MED, NCC, LPC, RPT Counselor Medicare: Not Enrolled in Medicare Practice Location: 232 Vance Rd Ste 205, Valley Park, MO 63088 Phone: 314-805-4794 | |
Kathryn Clayton, MA, NCC, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 232 Vance Rd., Ste. 207, Valley Park, MO 63088 Phone: 314-712-9218 Fax: 636-517-1074 | |
Mark Mandell, LPC, NCC, ME.D. Counselor Medicare: Not Enrolled in Medicare Practice Location: 232 Vance Rd Ste 202b, Valley Park, MO 63088 Phone: 636-489-9575 | |
Phoebe Thompson, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 232 Vance Rd Ste 104a, Valley Park, MO 63088 Phone: 314-328-4126 Fax: 636-791-0105 |