| Ms Kelley Gaye Wilbanks, LPC | |
|
3411 Division Dr, West Plains, MO 65775-5789 | |
| (417) 257-9152 | |
| (417) 257-9162 |
| Full Name | Ms Kelley Gaye Wilbanks |
|---|---|
| Gender | Female |
| Speciality | Counselor |
| Location | 3411 Division Dr, West Plains, Missouri |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578666723 | NPI | - | NPPES |
| 494720303 | Medicaid | MO | |
| 151551 | Other | MO | BLUE CROSS BLUE SHIELD |
| 431116734 | Other | MO | NEW DIRECTIONS |
| 431116734 | Other | MO | EAP INTERFACE |
| 11545393 | Other | MO | CAQH |
| 713333 | Other | MO | HEALTHLINK PPO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | 494720303 (Missouri) | Primary |
| Entity Name | Family Counseling Center Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1669477550 PECOS PAC ID: 2163410481 Enrollment ID: O20040609001127 |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Kelley Gaye Wilbanks, LPC 3411 Division Dr, West Plains, MO 65775-5789 Ph: (417) 257-9152 | Ms Kelley Gaye Wilbanks, LPC 3411 Division Dr, West Plains, MO 65775-5789 Ph: (417) 257-9152 |
Zachary Nelson, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 412 Washington Ave, West Plains, MO 65775 Phone: 417-274-0469 Fax: 417-503-1442 | |
Jenna Hampton, PLPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1211 Porter Wagoner Blvd, West Plains, MO 65775 Phone: 417-257-6762 | |
Mrs. Jeannie Rhoads-ashley, CCDP Counselor Medicare: Not Enrolled in Medicare Practice Location: 1015 Lanton Rd, West Plains, MO 65775 Phone: 417-256-2570 Fax: 417-256-6497 | |
Cretia Lynne Ussery, QMHP RADC-P Counselor Medicare: Not Enrolled in Medicare Practice Location: 1015 Lanton Rd, West Plains, MO 65775 Phone: 417-257-9152 | |
Randy Gene Clark Sr., Counselor Medicare: Not Enrolled in Medicare Practice Location: 1639 Bruce Smith Pkwy, West Plains, MO 65775 Phone: 417-308-0671 | |
Rebecca Kay Beville, MA, QMHP Counselor Medicare: Not Enrolled in Medicare Practice Location: 1211 Porter Wagoner Blvd, West Plains, MO 65775 Phone: 417-257-6762 | |
Kendell Pellham, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1015 Lanton Rd, West Plains, MO 65775 Phone: 417-256-2570 |