| Lydia St Clair Frye, LPC | |
|
760 Plantation Blvd, Sikeston, MO 63801-5736 | |
| (573) 471-0800 | |
| Not Available |
| Full Name | Lydia St Clair Frye |
|---|---|
| Gender | Female |
| Speciality | Counselor - Professional |
| Location | 760 Plantation Blvd, Sikeston, Missouri |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699492132 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 2022045303 (Missouri) | Primary |
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| Entity Name | Bootheel Counseling Services |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1386789139 PECOS PAC ID: 5496725145 Enrollment ID: O20040802000153 |
| Mailing Address | Practice Location Address |
|---|---|
| Lydia St Clair Frye, LPC Po Box 748465, Atlanta, GA 30374-8465 Ph: (855) 284-7483 | Lydia St Clair Frye, LPC 760 Plantation Blvd, Sikeston, MO 63801-5736 Ph: (573) 471-0800 |
Crendy Tarkington, PLPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 760 Plantation Blvd, Sikeston, MO 63801 Phone: 573-471-0800 Fax: 573-471-0810 | |
Jacqulyn Christine Phelps, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 760 Plantation Blvd, Box 1043, Sikeston, MO 63801 Phone: 573-471-0800 Fax: 573-471-0810 | |
Taryn Legrand-lovett, MA Counselor Medicare: Not Enrolled in Medicare Practice Location: 760 Plantation Blvd, Sikeston, MO 63801 Phone: 573-471-0800 Fax: 573-471-0810 | |
Kayla Erlbacher, Counselor Medicare: Not Enrolled in Medicare Practice Location: 760 Plantation Blvd, Sikeston, MO 63801 Phone: 573-471-0800 | |
Gloria H Voss, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 760 Plantation Blvd, Sikeston, MO 63801 Phone: 573-471-0800 Fax: 573-471-0810 | |
Brooke Chipman, PLPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 760 Plantation Blvd, Sikeston, MO 63801 Phone: 573-471-0800 | |
Michael Ziegler, MS, NCC, PLPC Counselor Medicare: Medicare Enrolled Practice Location: 760 Plantation Blvd, Sikeston, MO 63801 Phone: 573-471-0800 |