| Mr Anthony Michael Daltoso, | |
|
4304 S Bearfield Rd, Columbia, MO 65201-9557 | |
| (573) 874-8686 | |
| Not Available |
| Full Name | Mr Anthony Michael Daltoso |
|---|---|
| Gender | Male |
| Speciality | Counselor - Mental Health |
| Location | 4304 S Bearfield Rd, Columbia, Missouri |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548579535 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 2010032744 (Missouri) | Secondary |
| 101YM0800X | Counselor - Mental Health | LH60634650 (* (Not Available)) | Primary |
| Entity Name | Refresh Therapy, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1225403454 PECOS PAC ID: 2365965985 Enrollment ID: O20250325000521 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Anthony Michael Daltoso, 2012 W Ash St Apt M10, Columbia, MO 65203-8125 Ph: (573) 823-7475 | Mr Anthony Michael Daltoso, 4304 S Bearfield Rd, Columbia, MO 65201-9557 Ph: (573) 874-8686 |
Mr. Gregory Len Boyt, M.A., L.P.C. Counselor Medicare: Not Enrolled in Medicare Practice Location: 117 N Garth Ave, Columbia, MO 65203 Phone: 573-673-7381 Fax: 573-875-8089 | |
Lindsay K Ingram, PLPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 200 Portland St, Columbia, MO 65201 Phone: 844-853-8937 | |
Elizabeth Catherine Whittom, Counselor Medicare: Not Enrolled in Medicare Practice Location: 201 W Broadway Ste 2f, Columbia, MO 65203 Phone: 573-214-0436 | |
Mr. Robert Alan Rucker, Counselor Medicare: Not Enrolled in Medicare Practice Location: 800 Hospital Dr, Columbia, MO 65201 Phone: 619-507-6911 | |
Renee Powers-scott, LPC Counselor Medicare: Medicare Enrolled Practice Location: 3309 Lance Dr, Columbia, MO 65202 Phone: 573-999-6537 | |
Jared Torbet, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2600 Forum Blvd Ste G, Columbia, MO 65203 Phone: 573-239-9915 Fax: 573-340-1028 | |
Amy Michelle Evans, Counselor Medicare: Not Enrolled in Medicare Practice Location: 4304 S Bearfield Rd, Columbia, MO 65201 Phone: 573-874-8686 |